Active NPI
Jennifer Williams, RN
- Registered Nurse
- Peoria, AZ
National Provider Identifier
1669359857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 269145
- Practice address
- 11200 N 83Rd Ave
Peoria, AZ 85345-5945 - Phone
- (623) 486-6309
- NPI assigned
- Aug 19, 2025
- Last updated
- Aug 19, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 269145 | GA | Primary |
Addresses
Primary practice location
11200 N 83Rd Ave
Peoria, AZ 85345-5945
Mailing address
11200 N 83Rd Ave
Peoria, AZ 85345-5945
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269145 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1669359857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 N 83RD AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853455945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 N 83RD AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853455945",
"telephone_number": "623-486-6309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "269145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.