Active NPI
Julie Vivian Williams, NP
- Gerontology Nurse Practitioner
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 0024172076
- Practice address
- 2000 Green Rd, Ste 300
Dept. of Emergency Medicine
Ann Arbor, MI 48105 - Phone
- (734) 712-1881
- Fax
- (804) 628-0384
- NPI assigned
- Nov 25, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0024172076 | VA | Primary |
| Nurse Practitioner | 363L00000X | 4704339208 | MI |
Addresses
Primary practice location
2000 Green Rd, Ste 300
Dept. of Emergency Medicine
Ann Arbor, MI 48105
Mailing address
2000 Green Rd Ste 300
Ann Arbor, MI 48105-1575
Phone (734) 712-1881
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwilliams24638@direct.trinity-health.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024172076 | VA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients | |
| St Joseph Mercy Hospital | Current | Accepting new patients |
Locations
1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557
34505 W 12 Mile Rd
Ste 200
Farmington Hills, MI 48331
Phone (734) 343-3922
7025 E Michigan Ave
Saline, MI 48176
Phone (734) 712-0020
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Ypsilanti, MI
- NPI 1659499705
-
- Urgent Care Clinic/Center
- Canton, MI
- NPI 1184743866
-
- Cardiac Rehabilitation Clinic/Center
- Ypsilanti, MI
- NPI 1902359094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1487051173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GREEN RD STE 300",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051575",
"telephone_number": "734-712-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 GREEN RD, STE 300",
"address_2": "DEPT. OF EMERGENCY MEDICINE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "734-712-1881",
"fax_number": "804-628-0384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JULIE",
"middle_name": "VIVIAN",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2022-02-23",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "VA",
"license": "0024172076",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704339208",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwilliams24638@direct.trinity-health.org",
"affiliation": "N",
"address_1": "2000 Green RD, STE 300",
"address_2": "Dept. of Emergency Medicine",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "48105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.