Pamela Dianne Williams

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

D423676143597 Issued in MI

Practice address

14344 Grandville Ave
Detroit, MI 48223-2943

Phone

(313) 704-3980

NPI assigned

Jul 23, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1821541053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14344 GRANDVILLE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232943",
            "telephone_number": "313-704-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14344 GRANDVILLE AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232943",
            "telephone_number": "313-704-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PAMELA",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MI",
            "license": "D423676143597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADD TAXONOMY",
            "identifier": "247200000X/TECHNICIA",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADD TAXONOMY",
            "identifier": "247200000X",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247200000X/TECHNICIA",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Annette Williams
• Niketa Diedranette Williams, MD
• Ogechi Angelina Williams, PA-C
• Omoalukhe Williams
• Pamela Berry Williams, M.D.
• Patrice Yvette Williams
• Patrick Williams
• Percy Lee Williams Jr., M.DIV., M.S.
• Rachelle Elizabeth Williams
• Ramona Ardella Williams, LMSW

• Other Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.