Individual provider Active NPI

Edith Williams, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1750698445
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401320-1 Issued in NY
Practice address
57 W 75TH St Apt 1a
New York, NY 10023-2007
Phone
(212) 764-4647
NPI assigned
Sep 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401320-1 NY Primary

Addresses

Primary practice location

57 W 75TH St Apt 1a
New York, NY 10023-2007

Mailing address

57 W 75TH St Apt 1a
New York, NY 10023-2007
Phone (212) 764-4647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170201001752 NY Practitioner - Nurse Practitioner 8729361548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
La Casa de Salud IncGroup PAC ID 6103913835, 23 clinicians

Practice addresses (Care Compare)

966 Prospect Ave
Bronx, NY 10459-3270
Phone (718) 842-1412

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F401320-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Casa de Salud, Inc CurrentSince Dec 24, 2016 Accepting new patients
Uptown Healthcare Management Inc. CurrentSince Nov 17, 2017 Accepting new patients
Uptown Healthcare Management, Inc. CurrentSince Nov 17, 2017 Accepting new patients
Inspire NP Psychiatric Services PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2020 Accepting new patients
La Casa de Salud Inc. CurrentSince Dec 24, 2016 Accepting new patients

Locations

930 E Tremont Ave
Fl 3
Bronx, NY 10460
Phone (718) 620-6068

930 E Tremont Ave
Bronx, NY 10460
Phone (718) 764-1660

966 Prospect Ave
Bronx, NY 10459
Phone (718) 617-6060

1778 Jerome Ave
Bronx, NY 10453
Phone (718) 583-3300

330 W 58th St
Ste 503
New York, NY 10019
Phone (212) 262-6215

4470 Broadway
#4
New York, NY 10040
Phone (212) 569-7144

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1750698445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 75TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232007",
            "telephone_number": "212-764-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 75TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232007",
            "telephone_number": "212-764-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "EDITH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401320-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.