Active NPI
Justin David Williams, NRP
- Paramedic
- Fairbanks, AK
National Provider Identifier
1518830082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 22508194
- Practice address
- 1275 Sadler Way Ste 101
Fairbanks, AK 99701-3175 - Phone
- (907) 374-7911
- Fax
- (907) 374-7744
- NPI assigned
- Sep 29, 2025
- Last updated
- Sep 29, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 22508194 | AK | Primary |
Addresses
Primary practice location
1275 Sadler Way Ste 101
Fairbanks, AK 99701-3175
Mailing address
1240 Chevak CT
Fairbanks, AK 99701-1428
Phone (907) 378-6060
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22508194 | AK | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1518830082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 CHEVAK CT",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997011428",
"telephone_number": "907-378-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 SADLER WAY STE 101",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997013175",
"telephone_number": "907-374-7911",
"fax_number": "907-374-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JUSTIN",
"middle_name": "DAVID",
"credential": "NRP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "AK",
"license": "22508194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.