Individual provider Active NPI

Wednesday A Williams, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1659036044
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310550 Issued in NY
Practice address
150 Riverside Dr
New York, NY 10024-2298
Phone
(646) 430-4490
Fax
(718) 747-9696
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310550 NY Primary

Addresses

Primary practice location

150 Riverside Dr
New York, NY 10024-2298

Mailing address

150 Riverside Dr
New York, NY 10024-2298
Phone (646) 430-4490

Other practice location 1

100 W Kingsbridge Rd
Bronx, NY 10468-3961
Phone (646) 430-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000625 NY Order and Referring Only - Nurse Practitioner 3577923580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310550NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1659036044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVERSIDE DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242298",
            "telephone_number": "646-430-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVERSIDE DR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242298",
            "telephone_number": "646-430-4490",
            "fax_number": "718-747-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Kingsbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104683961",
            "country_code": "US",
            "telephone_number": "646-430-4490",
            "fax_number": "718-747-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "WEDNESDAY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.