Matthew Nakeem Williams, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.502524 Issued in IL

Practice address

5000 S 5TH Ave
Hines, IL 60141-3030

Phone

(775) 386-9225

NPI assigned

Nov 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: matthew.williams11@va.gov

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821699273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 15TH ST UNIT 124",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081444",
            "telephone_number": "775-386-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "775-386-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MATTHEW",
        "middle_name": "NAKEEM",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.502524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MATTHEW.WILLIAMS11@VA.GOV",
            "affiliation": "Y",
            "endpointDescription": "VA OFFICIAL EMAIL",
            "affiliationName": "Edward Hines Jr. VA Hospital",
            "address_1": "5000 S 5th Ave",
            "city": "Hines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601413030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward Wiesneth, RD
• Stephen J Wild, R.PH
• Katelin Wilfinger, PHARMD
• Jessica Rachelle Wilkie, LCSW
• Janet L Williams
• Sheena Nicole Williamson, LSW
• Nancy Jo Wilsak, RPH
• Pamela C. Wilson, LCSW
• Melissa A. Wilt, LCSW
• Melissa Winter

• Registered Nurse in Hines, IL
• Providers in Hines, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.