Individual provider Active NPI

Janeen Nicole Williams, FNP

  • Family Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1740815307
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341747-01 Issued in NY
Practice address
2 Osmun PL
Yonkers, NY 10701-5238
Phone
(914) 262-0982
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341747-01 NY Primary

Addresses

Primary practice location

2 Osmun PL
Yonkers, NY 10701-5238

Mailing address

2 Osmun PL
Yonkers, NY 10701-5238
Phone (914) 262-0982

Other identifiers 1

IdentifierTypeStateIssuer
F341747-01MedicaidNY

Other names 1

  • Janeen Nicole Williams Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL janeen.williams@va.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251029003243 TX Practitioner - Nurse Practitioner 3072002112

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

110 Squires CT
Kernersville, NC 27284-9494

1810 8TH Ave
Suite A101
Fort Worth, TX 76110-1352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F341747-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk Mitchell MD PA CurrentSince Aug 10, 2025 Accepting new patients

Locations

1810 8th Ave
Ste A101
Fort Worth, TX 76110
Phone (877) 969-6863

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1740815307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OSMUN PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015238",
            "telephone_number": "914-262-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OSMUN PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107015238",
            "telephone_number": "914-262-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JANEEN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341747-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F341747-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "janeen.williams@va.gov",
            "affiliation": "N",
            "address_1": "2 Osmun Pl",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107015238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANEEN",
            "last_name": "WILLIAMS",
            "middle_name": "NICOLE",
            "credential": "F341747-01",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.