Active NPI
Karen R Williams, MD
- Internal Medicine Physician
- Vancouver, WA
National Provider Identifier
1770547671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00036044
- Practice address
- 417 SE 164TH Ave
Suite 300
Vancouver, WA 98684-8943 - Phone
- (360) 896-6944
- Fax
- (360) 254-2894
- NPI assigned
- Apr 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00036044 | WA | Primary |
| Internal Medicine Physician | 207R00000X | MD15293 | OR |
Addresses
Primary practice location
417 SE 164TH Ave
Suite 300
Vancouver, WA 98684-8943
Mailing address
PO Box 92900
Portland, OR 97292-0900
Phone (360) 896-6944
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049619 | Medicaid | OR | |
| 8429433 | Medicaid | WA | |
| 135140 | Other | WA | WA LABOR & INDUSTRIES |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15293 | OR | MD | Internal Medicine Physician |
Interoperability endpoints
- karen.williams.1@21026.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1770547671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92900",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972920900",
"telephone_number": "360-896-6944",
"fax_number": "360-254-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 SE 164TH AVE",
"address_2": "SUITE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986848943",
"telephone_number": "360-896-6944",
"fax_number": "360-254-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KAREN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00036044",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD15293",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049619",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8429433",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "135140",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.