Active NPI
Wanda Millner Williams, PHD, RN, WHNP
- Women's Health Nurse Practitioner
- Camden, NJ
National Provider Identifier
1730229535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ00504800
- Practice address
- 317 S Broadway
Camden, NJ 08103-1209 - Phone
- (856) 365-3519
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ00504800 | NJ | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 940025 | NC |
Addresses
Primary practice location
317 S Broadway
Camden, NJ 08103-1209
Mailing address
PO Box 22581
New York, NY 10087-2581
Phone (856) 669-6050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730229535 | Medicaid | NC | |
| 1730229535 | Medicaid | NJ |
Other names 1
- Mrs. Wanda Millner Thompson
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
- Nurse Practitioner, Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 940025 | NC | MD | Women's Health Nurse Practitioner |
| 26NJ00504800 | NJ | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- wanda.williams.p3@direct.ppncsnj.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1730229535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22581",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100872581",
"telephone_number": "856-669-6050",
"fax_number": "856-528-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 S BROADWAY",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031209",
"telephone_number": "856-365-3519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "WANDA",
"middle_name": "MILLNER",
"name_prefix": "Dr.",
"credential": "PHD, RN, WHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ00504800",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "940025",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730229535",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730229535",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WANDA",
"last_name": "THOMPSON",
"middle_name": "MILLNER",
"prefix": "MRS.",
"credential": "RN, WHNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.