Fionda Williams Brock, DN, MS, MSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN160112 Issued in AZ

Practice address

1360 William Hardy Dr
Bullhead City, AZ 86429-1146

Phone

(702) 427-9800

NPI assigned

Dec 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Other names 1

• Fionda Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Master of Science - Nursing, Registered Nurse

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 and National Provider Directory roles.

• Lumana LTD. Co

  • Health & Wellness Coach
  • Phoenix, AZ
  • NPI 1720600042
  NPD Authorized official

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1609645241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 HIGHWAY 68",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864298959",
            "telephone_number": "702-427-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 WILLIAM HARDY DR",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864291146",
            "telephone_number": "702-427-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "FIONDA",
        "middle_name": "WILLIAMS",
        "credential": "DN, MS, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AZ",
            "license": "RN160112",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AZ",
            "license": "RN160112",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "AZ",
            "license": "RN160112",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AZ",
            "license": "RN160112",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "AZ",
            "license": "RN160112",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZB0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biochemist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN160112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FIONDA",
            "last_name": "WILLIAMS",
            "credential": "MS, MSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keith E Boyd, Jr, DDS
• Matthew L Bradley, D.C.
• Harvinder Singh Brar, PHARMD
• Andrew S Brenner, MD
• Ernest Wilmoth Bristol Jr., ERNEST BRISTOL
• Kevin Frank Brown, D.O.
• Kristen Brown
• Meredith Lynn Brumfield, COTA/L
• Charles Eugene Bruso, M.D.
• Ryan Sabado Buenaventura, PHARMD

• Registered Nurse in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.