Individual provider Active NPI

Yashica Latrell Williamson-Brown, RN

  • Registered Nurse
  • Buffalo, NY
National Provider Identifier
1497502371
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
478125 Issued in NY
Practice address
310 Bird Ave
Buffalo, NY 14213-1228
Phone
(716) 310-4729
NPI assigned
Apr 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 478125 NY Primary

Addresses

Primary practice location

310 Bird Ave
Buffalo, NY 14213-1228

Mailing address

310 Bird Ave
Buffalo, NY 14213-1228
Phone (716) 310-4729

Other practice location 1

1526 Walden Ave
Cheektowaga, NY 14225-4965
Phone (716) 768-1937

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
478125NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1497502371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BIRD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131228",
            "telephone_number": "716-310-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BIRD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131228",
            "telephone_number": "716-310-4729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 Walden Ave",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142254965",
            "country_code": "US",
            "telephone_number": "716-768-1937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON-BROWN",
        "first_name": "YASHICA",
        "middle_name": "LATRELL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "478125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.