Shauna Williamson Sole MBR

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SHAUNA WILLIAMSON SOLE MBR

Practice address

673 E 137TH St Apt 6a
Bronx, NY 10454-3332

Phone

(347) 274-5753

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Shauna WilliamsonNPI 1477141737

Title

Provider

Phone

(347) 274-5753

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shauna Williamson

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1477141737
  NPD Authorized official

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1346837374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 E 137TH ST APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "673 E 137TH ST APT 6A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104543332",
            "telephone_number": "347-274-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUNA WILLIAMSON SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "347-274-5753"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "815820126",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bronx",
            "affiliation": "N",
            "address_1": "673 E 137th St Apt 6A",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104543332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dovelet T Shashou, MD
• Rujul Piyush Shastri, M.D.
• Deborah Michelle Shatkin, M.D.
• Ellen E Shatzkin, PA
• Nicholas Lee Shaughnessy, MD
• Sergiy Shavaran, PA
• Janine Shaver
• Ella Shaviv
• Carol Shaw
• James Shaw, RN

• Medical Specialty Clinic/Center in Bronx, NY
• Providers in Bronx, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.