Individual provider Active NPI

Claire Marie Williams, MD, MPH

  • Pediatrics Physician
  • Burnsville, MN
National Provider Identifier
1427678523
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
73922 Issued in MN
Practice address
501 E Nicollet Blvd Ste 200
Burnsville, MN 55337-6785
Phone
(952) 278-7000
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 73922 MN Primary

Addresses

Primary practice location

501 E Nicollet Blvd Ste 200
Burnsville, MN 55337-6785

Mailing address

3955 Parklawn Ave Ste 120
Edina, MN 55435-5660
Phone (952) 278-7000

Other practice location 1

3955 Parklawn Ave Ste 120
Edina, MN 55435-5660
Phone (952) 278-7000

Other practice location 2

11095 Viking Dr Ste 250
Eden Prairie, MN 55344-7229
Phone (952) 278-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806002084 MN Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8123443223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31120MNMDFamily Medicine Physician
73922MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southdale Pediatric Associates, LTD CurrentSince Jul 23, 2023 Accepting new patients

Locations

501 E Nicollet Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 278-7000

11095 Viking Dr
Ste 250
Eden Prairie, MN 55344
Phone (952) 278-7000

3955 Parklawn Ave
Ste 120
Minneapolis, MN 55435
Phone (952) 278-7000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/1846cf9e-8006-4277-b72f-3cbbe8a8f5ca/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1427678523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PARKLAWN AVE STE 120",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355660",
            "telephone_number": "952-278-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E NICOLLET BLVD STE 200",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376785",
            "telephone_number": "952-278-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 Parklawn Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554355660",
            "country_code": "US",
            "telephone_number": "952-278-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11095 Viking Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447229",
            "country_code": "US",
            "telephone_number": "952-278-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLAIRE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "73922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.