Active NPI
Karen Y. Williams, ARNP
- Neonatal Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1861435018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 7227185-4405
- Practice address
- 50 N Medical Dr
Neonatology Services
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2746
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 0432382310 | NH | |
| Neonatal Nurse Practitioner | 363LN0000X | 7227185-4405 | UT | Primary |
Addresses
Primary practice location
50 N Medical Dr
Neonatology Services
Salt Lake City, UT 84132-0001
Mailing address
1042 Fort Union Blvd # 473
Midvale, UT 84047-1800
Phone (603) 548-0079
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22565Y | Other | NH | ANTHEM REFERRING RAN |
| 40Y002584NH02 | Other | NH | ANTHEM ACES |
| AA14483 | Other | NH | HARVARD PILGRIM |
| 6697615 | Other | NH | CIGNA |
| 30341532 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0432382310 | NH | MD | Neonatal Nurse Practitioner |
| 7227185-4405 | UT | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliot Professional Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Manchester, NH
- NPI 1285627935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299283200000",
"number": "1861435018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 FORT UNION BLVD # 473",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471800",
"telephone_number": "603-548-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MEDICAL DR",
"address_2": "NEONATOLOGY SERVICES",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-581-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KAREN",
"middle_name": "Y.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2011-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NH",
"license": "0432382310",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "UT",
"license": "7227185-4405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM REFERRING RAN",
"identifier": "22565Y",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ACES",
"identifier": "40Y002584NH02",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA14483",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6697615",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30341532",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.