Active NPI
Hynatu L Williamson, M.D.
- Family Medicine Physician
- Minneapolis, MN
National Provider Identifier
1508962440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 48800
- Practice address
- 5450 Lyndale Ave S
Minneapolis, MN 55419-1718 - Phone
- (612) 361-4906
- Fax
- (833) 973-3528
- NPI assigned
- Sep 16, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48800 | MN | Primary |
Addresses
Primary practice location
5450 Lyndale Ave S
Minneapolis, MN 55419-1718
Mailing address
2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone (888) 290-1209
Other practice location 1
12000 Elm Creek Blvd N
#140
Maple Grove, MN 55369-7073
Phone (763) 420-7048
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hynatu.wiliamson.1@31254.direct.athenahealth.com | Direct | Herself Health MN PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Mayo Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5450 Lyndale Ave S
Minneapolis, MN 55419-1718
Phone (612) 256-8225
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Herself Health MN PC | Family Medicine | Current | Accepting new patients |
Locations
5450 Lyndale Ave S
Minneapolis, MN 55419
Phone (612) 256-8225
2004 Ford Pkwy
Saint Paul, MN 55116
Phone (612) 256-8225
1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- hynatu.wiliamson.1@31254.direct.athenahealth.com
- https://api.platform.athenahealth.com/31254/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1508962440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 FORD PKWY",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161931",
"telephone_number": "888-290-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 LYNDALE AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191718",
"telephone_number": "612-361-4906",
"fax_number": "833-973-3528"
}
],
"practiceLocations": [
{
"address_1": "12000 Elm Creek Blvd N",
"address_2": "#140",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553697073",
"country_code": "US",
"telephone_number": "763-420-7048",
"fax_number": "763-420-7938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "HYNATU",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "48800",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hynatu.wiliamson.1@31254.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "Herself Health MN PC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5450 Lyndale Ave S",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554191718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.