Jeanette Michelle Williams, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C52939 Issued in CA

Practice address

807A Washington St
Calistoga, CA 94515-1431

Phone

(707) 942-1100

Fax

(707) 341-3150

NPI assigned

May 23, 2007

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 7, 2018 through Feb 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urgent Care Doctors Office, PA

  • Family Medicine Physician
  • Eden Prairie, MN
  • NPI 1447204433
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1598975138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807A WASHINGTON ST",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151431",
            "telephone_number": "707-942-1100",
            "fax_number": "707-341-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807A WASHINGTON ST",
            "city": "CALISTOGA",
            "state": "CA",
            "postal_code": "945151431",
            "telephone_number": "707-942-1100",
            "fax_number": "707-341-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEANETTE",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C52939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torus Heart Therapy, Heather Jai C2C, Inc
• Kiran Madhav Ubhayakar, M.D.
• Eleanor M Vera Cruz, DDS
• Michele Voska, MFT
• Wellspring Physical Therapy & Pilatesstudio, Inc.
• Mary S Ziadeh, LMFT

• Family Medicine Physician in Calistoga, CA
• Providers in Calistoga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.