Charles Wayne Williams, CNS.,NP.

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

CNS1514 Issued in CA

Practice address

5040 Brabant CT
Elk Grove, CA 95757-3295

Phone

(916) 752-1273

Fax

(916) 676-4865

NPI assigned

Dec 20, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

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.

• M Nadir Alocozy Inc

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1467772426
  NPD (past)
• Sa Haggerty, Inc., a Medical Corporation

  • General Practice Physician
  • Sacramento, CA
  • NPI 1992988513
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209168000000",
    "number": "1851455372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 BRABANT CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573295",
            "telephone_number": "916-752-1273",
            "fax_number": "916-676-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 BRABANT CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573295",
            "telephone_number": "916-752-1273",
            "fax_number": "916-676-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHARLES",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "CNS.,NP.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "CA",
            "license": "CNS1514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CNS015140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Wilkinson, PHARMD
• Amber Michele Williams
• Andrea Victoria Williams, PSY.D., L.E.P.
• Andrew Otis Williams, D.C.
• Anthony Scott Williams
• Christina M Williams, AOD COUNSELING
• D'Andrea Ruth Williams
• Devantenae Williams
• Doinique Williams
• Gloria Williams

• Gerontology Clinical Nurse Specialist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Gerontology Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2008; 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.