Active NPI
Jessica I Williams, NP
- Adult Health Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R235631
- Practice address
- 10710 Charter Dr Ste 400
Columbia, MD 21044 - Phone
- (443) 276-9000
- Fax
- (443) 276-9610
- NPI assigned
- May 6, 2013
- Last updated
- Dec 28, 2018
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R235631 | MD | Primary |
Addresses
Primary practice location
10710 Charter Dr Ste 400
Columbia, MD 21044
Mailing address
10710 Charter Dr Ste 400
Columbia, MD 21044-3276
Phone (443) 276-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10710 Charter Dr
Suite 400
Columbia, MD 21044-3276
Phone (410) 997-7979
1300 York Rd
Suite 30D
Lutherville, MD 21093-6090
Phone (443) 275-1337
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R235631 | MD | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients | |
| Johns Hopkins Regional Physicians LLC | Current | Accepting new patients |
Locations
10710 Charter Dr
Ste 400
Columbia, MD 21044
Phone (410) 997-7979
1300 York Rd
Ste 30D
Lutherville Timonium, MD 21093
Phone (443) 275-1337
Interoperability endpoints
- jwilliams482995@direct.hopkinsmedicine.org
Organizations & group practices 3
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.
-
dba Cardiovascular Specialists of Central Maryland
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1609195320
-
- Audiologist
- Baltimore, MD
- NPI 1336909050
-
dba JHRP - 10285 Little Patuxent Pkwy Ste 200 - Provider Type: 20
- Internal Medicine Physician
- Columbia, MD
- NPI 1871454934
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Johns Hopkins Howard County Medical Center
- General Acute Care Hospital
- Columbia, MD
- NPI 1144291899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1477998326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10710 CHARTER DR STE 400",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443276",
"telephone_number": "443-276-9000",
"fax_number": "443-276-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10710 CHARTER DR STE 400",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "21044",
"telephone_number": "443-276-9000",
"fax_number": "443-276-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JESSICA",
"middle_name": "I",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R235631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.