Active NPI
Mary V Williams, LMP
- Specialist
- Livingston, MT
National Provider Identifier
1861611022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1188
- Practice address
- 1313 W Park St
Suite 21
Livingston, MT 59047 - Phone
- (425) 765-0927
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00014924 | WA | |
| Specialist | 174400000X | 1188 | MT | Primary |
Addresses
Primary practice location
1313 W Park St
Suite 21
Livingston, MT 59047
Mailing address
126 Wineglass Loop S
Livingston, MT 59047
Phone (425) 765-0927
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1188 | MT | MD | Chiropractor |
| MA00014924 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1861611022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 WINEGLASS LOOP S",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "59047",
"telephone_number": "425-765-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 W PARK ST",
"address_2": "SUITE 21",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "59047",
"telephone_number": "425-765-0927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MARY",
"middle_name": "V",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00014924",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "1188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.