Martha Margarita Williams, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

504915 Issued in TX

Practice address

630 S General McMullen Dr
San Antonio, TX 78237-2005

Phone

(210) 644-8500

Fax

(210) 644-8507

NPI assigned

Jan 4, 2007

Last updated

Aug 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1730236670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782910087",
            "telephone_number": "210-358-9174",
            "fax_number": "210-358-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S GENERAL MCMULLEN DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782372005",
            "telephone_number": "210-644-8500",
            "fax_number": "210-644-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARTHA",
        "middle_name": "MARGARITA",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "504915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062640003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malissa Williams
• Mallory Williams
• Margaret Williams
• Maria Josefina Williams, CNA
• Marion Ophelia Williams, MD
• Mary Ann Williams, RPSGT, BA
• Mary Leigh Williams
• Matthew Alan Williams, D.M.D.
• Maxx Logan Williams, DO
• Melody Williams, SLPA

• Pediatric Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.