Organization Active NPI

Damien Williams

  • Pediatric Registered Nurse
  • Mont Belvieu, TX
National Provider Identifier
1548717465
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
811280 Issued in TX
Legal business name
DAMIEN WILLIAMS
Practice address
4014 Wilburn Ranch Dr
Mont Belvieu, TX 77523-4208
Phone
(832) 647-9372
NPI assigned
Sep 8, 2016
Last updated
Sep 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Damien Williams Sr.NPI 1093191710
Title
RN
Phone
(832) 647-9372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 811280 TX Primary
Licensed Vocational Nurse 164X00000X 233278 TX

Addresses

Primary practice location

4014 Wilburn Ranch Dr
Mont Belvieu, TX 77523-4208

Mailing address

4014 Wilburn Ranch Dr
Mont Belvieu, TX 77523-4208
Phone (832) 647-9372

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1548717465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 WILBURN RANCH DR",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775234208",
            "telephone_number": "832-647-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 WILBURN RANCH DR",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775234208",
            "telephone_number": "832-647-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMIEN WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "832-647-9372",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "811280",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "233278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mont Belvieu, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.