Active NPI
Mailyn Faye Williams, PA-C, RDMS, RVT
- Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367 - Phone
- (206) 616-4001
- NPI assigned
- May 18, 2021
- Last updated
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary |
Addresses
Primary practice location
4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367
Mailing address
17425 Bettijean St
Anchorage, AK 99516-5612
Phone (612) 250-9741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11201 Mountain Lake Dr
Anchorage, AK 99516-1875
Phone (907) 222-4624
2280 S Woodworth Loop
Palmer, AK 99645-7412
Phone (907) 746-4646
2280 Woodworth Loop
Palmer, AK 99645
Phone (907) 565-8010
3200 Providence Dr
Anchorage, AK 99508-4615
Phone (907) 562-2211
3650 Piper St
Suite a
Anchorage, AK 99508-4692
Phone (901) 222-4624
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alaska Native Tribal Health Consortium | Current | Accepting new patients |
Locations
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Body Imaging Physician
- Anchorage, AK
- NPI 1003803214
-
dba Imaging Associates
- Diagnostic Radiology Physician
- Anchorage, AK
- NPI 1174573174
-
- Surgery Physician
- Anchorage, AK
- NPI 1437407277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1457925042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17425 BETTIJEAN ST",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995165612",
"telephone_number": "612-250-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 11TH AVE NE STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056367",
"telephone_number": "206-616-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MAILYN",
"middle_name": "FAYE",
"credential": "PA-C, RDMS, RVT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.