Active NPI
Marilyn Augustine Williamson, RN CS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Sterling, VA
National Provider Identifier
1710028030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 0015000260
- Practice address
- 101 Hemlock CT
Sterling, VA 20164-2115 - Phone
- (703) 430-4600
- Fax
- (703) 430-5500
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 0015000260 | VA | Primary |
Addresses
Primary practice location
101 Hemlock CT
Sterling, VA 20164-2115
Mailing address
101 Hemlock CT
Sterling, VA 20164-2115
Phone (703) 430-4600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1206446 | Other | TX | AETNA |
| A235647 | Other | NY | VALUE OPTIONS |
| 0007956784 | Other | KY | AETNA INSURANCE |
| A477858 | Other | NY | VALUE OPTIONS INS. CO. |
| 7102000VA23286 | Other | MI | BCBS OF MICHIGAN |
| 0000000027810 | Other | VA | ANTHEM BCBS |
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)
- Enrolled
- Credentials
- Certified Nurse Specialist, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015000260 | VA | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710028030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HEMLOCK CT",
"city": "STERLING",
"state": "VA",
"postal_code": "201642115",
"telephone_number": "703-430-4600",
"fax_number": "703-430-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HEMLOCK CT",
"city": "STERLING",
"state": "VA",
"postal_code": "201642115",
"telephone_number": "703-430-4600",
"fax_number": "703-430-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "MARILYN",
"middle_name": "AUGUSTINE",
"name_prefix": "Dr.",
"credential": "RN CS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "VA",
"license": "0015000260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1206446",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A235647",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE",
"identifier": "0007956784",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS INS. CO.",
"identifier": "A477858",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "7102000VA23286",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "0000000027810",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.