Individual provider Active NPI

Jessica Dunn-Williams

  • Specialist
  • Plattsburgh, NY
National Provider Identifier
1477978179
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1302995 Issued in NY
Practice address
427 Margaret St
Plattsburgh, NY 12901-4751
Phone
(518) 563-6163
NPI assigned
Mar 4, 2014
Last updated
Mar 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1302995 NY Primary

Addresses

Primary practice location

427 Margaret St
Plattsburgh, NY 12901-4751

Mailing address

5 Saranac St
Plattsburgh, NY 12901-3510
Phone (518) 570-0081

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

LicenseStateTypeSpecialty
1302995NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1477978179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SARANAC ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013510",
            "telephone_number": "518-570-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129014751",
            "telephone_number": "518-563-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN-WILLIAMS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1302995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.