Active NPI
Vivian Wilson Williams, MSN RN CPNP
- Pediatric Nurse Practitioner
- Boston, MA
National Provider Identifier
1801063367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 262800
- Practice address
- 300 Longwood Ave Hunnewell 3
Childrens Hospital Boston Department of Urology
Boston, MA 02115 - Phone
- (617) 355-7796
- Fax
- (617) 730-0474
- NPI assigned
- May 14, 2008
- Last updated
- Oct 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 262800 | MA | Primary |
Addresses
Primary practice location
300 Longwood Ave Hunnewell 3
Childrens Hospital Boston Department of Urology
Boston, MA 02115
Mailing address
300 Longwood Ave Hunnewell 3
Childrens Hospital Boston Department of Urology
Boston, MA 02115
Phone (617) 355-7796
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Urological Foundation | Pediatrics | Past | Accepting new patients |
| Childrens Hospital Boston | Past | Accepting new patients |
Interoperability endpoints
- vwilliams26591@direct.bostonchildrens.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1801063367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE HUNNEWELL 3",
"address_2": "CHILDRENS HOSPITAL BOSTON DEPARTMENT OF UROLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-355-7796",
"fax_number": "617-730-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE HUNNEWELL 3",
"address_2": "CHILDRENS HOSPITAL BOSTON DEPARTMENT OF UROLOGY",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-355-7796",
"fax_number": "617-730-0474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "VIVIAN",
"middle_name": "WILSON",
"name_prefix": "Ms.",
"credential": "MSN RN CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-14",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "262800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.