Active NPI
Betsy Lu El Williams, PH D
- Clinical Neuropsychologist
- Albuquerque, NM
National Provider Identifier
1316901077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 3370
- Practice address
- 5400 Phoenix NE
Suite 107
Albuquerque, NM 87110 - Phone
- (505) 872-2828
- Fax
- (505) 872-2828
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1495 | TN | |
| Clinical Neuropsychologist | 103G00000X | 3370 | NM | Primary |
Addresses
Primary practice location
5400 Phoenix NE
Suite 107
Albuquerque, NM 87110
Mailing address
5400 Phoenix NE
Suite 107
Albuquerque, NM 87110
Phone (505) 872-2828
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM100133 | Medicaid | NM | |
| 51608 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| 15572 | Other | NM | LOVELACE HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1495 | TN | MD | Audiologist |
| 3370 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1316901077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 PHOENIX NE",
"address_2": "SUITE 107",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87110",
"telephone_number": "505-872-2828",
"fax_number": "505-872-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 PHOENIX NE",
"address_2": "SUITE 107",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87110",
"telephone_number": "505-872-2828",
"fax_number": "505-872-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BETSY",
"middle_name": "LU EL",
"name_prefix": "Dr.",
"credential": "PH D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TN",
"license": "1495",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NM",
"license": "3370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NM100133",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "51608",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH PLAN",
"identifier": "15572",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.