Active NPI
Debra McWilliams, RMT,CNMT
- Specialist
- Colorado Springs, CO
National Provider Identifier
1356691927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9686
- Practice address
- 317 E San Rafael St
Suite 100
Colorado Springs, CO 80903-2405 - Phone
- (719) 330-2221
- Fax
- (719) 694-8170
- NPI assigned
- Sep 11, 2012
- Last updated
- Sep 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9686 | CO | Primary |
Addresses
Primary practice location
317 E San Rafael St
Suite 100
Colorado Springs, CO 80903-2405
Mailing address
3450 Birnamwood Dr
Colorado Springs, CO 80920-7332
Phone (719) 330-2221
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9686 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1356691927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 BIRNAMWOOD DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809207332",
"telephone_number": "719-330-2221",
"fax_number": "719-694-8170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E SAN RAFAEL ST",
"address_2": "SUITE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809032405",
"telephone_number": "719-330-2221",
"fax_number": "719-694-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWILLIAMS",
"first_name": "DEBRA",
"credential": "RMT,CNMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "9686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.