Active NPI
C Dayne Sultrmeier Williams, OT
- Occupational Therapist
- Corrales, NM
National Provider Identifier
1417224049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 820
- Practice address
- 212 Rancho Alondra
Corrales, NM 87048-7921 - Phone
- (505) 897-8723
- Fax
- (505) 897-8723
- NPI assigned
- Nov 28, 2011
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 820 | NM | Primary |
Addresses
Primary practice location
212 Rancho Alondra
Corrales, NM 87048-7921
Mailing address
PO Box 416
Corrales, NM 87048-0416
Phone (505) 897-8723
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 |
|---|---|---|---|
| 820 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1417224049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 416",
"city": "CORRALES",
"state": "NM",
"postal_code": "870480416",
"telephone_number": "505-897-8723",
"fax_number": "505-897-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 RANCHO ALONDRA",
"city": "CORRALES",
"state": "NM",
"postal_code": "870487921",
"telephone_number": "505-897-8723",
"fax_number": "505-897-8723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTRMEIER WILLIAMS",
"first_name": "C",
"middle_name": "DAYNE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.