Active NPI
Adrean Eyvonne Williams
- Registered Record Administrator
- San Francisco, CA
National Provider Identifier
1467724757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Record Administrator
- Practice address
- 12 Gough St
San Francisco, CA 94103-1290 - Phone
- (415) 864-2364
- NPI assigned
- Feb 1, 2012
- 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 |
|---|---|---|---|---|
| Registered Record Administrator | 246YR1600X | Primary |
Addresses
Primary practice location
12 Gough St
San Francisco, CA 94103-1290
Mailing address
12 Gough St
San Francisco, CA 94103-1290
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iris Center | Past | Accepting new patients |
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.
-
- Children's Substance Abuse Rehabilitation Facility
- San Francisco, CA
- NPI 1659628220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1467724757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 GOUGH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031290",
"telephone_number": "415-864-2364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ADREAN",
"middle_name": "EYVONNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-01",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "246YR1600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information, Registered Record Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.