Susan Mary Williams, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN625718 Issued in CA

Practice address

441 S Ham LN
Suite a
Lodi, CA 95242-3525

Phone

(209) 365-9331

Fax

(209) 365-9359

NPI assigned

Aug 16, 2006

Last updated

Mar 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Mary Davidson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1316050321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 S HAM LN",
            "address_2": "SUITE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423525",
            "telephone_number": "209-365-9331",
            "fax_number": "209-365-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S HAM LN",
            "address_2": "SUITE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423525",
            "telephone_number": "209-365-9331",
            "fax_number": "209-365-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "RN625718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DAVIDSON",
            "middle_name": "MARY",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathy White, M.S., CCC-SLP
• Kimberly Ann White
• Crystal Williams
• Denise Williams
• Kimberly Williams
• Wilson & Allen Chiropractic Corporation
• James Raymond Wilson, D.C.
• Lindella Wilson
• Anthony Paul Wingfield, INDIVIDUAL
• Gary Royce Wisner, M.D.

• Women's Health Nurse Practitioner in Lodi, CA
• Providers in Lodi, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.