Individual provider Active NPI

Ana R Williams, ASSISTANT NURSE

  • Home Health Aide
  • Roxbury Crossing, MA
National Provider Identifier
1871809988
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
20960P1097 Issued in MA
Practice address
40 Annunciation Rd Apt Z
Roxbury Crossing, MA 02120-1867
Phone
(617) 959-1332
Fax
(617) 516-8934
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 20960P1097 MA Primary

Addresses

Primary practice location

40 Annunciation Rd Apt Z
Roxbury Crossing, MA 02120-1867

Mailing address

40 Annunciation Rd Apt Z
Roxbury Crossing, MA 02120-1867
Phone (617) 959-1332

Other identifiers 1

IdentifierTypeStateIssuer
20960-P1097OtherMAMA INSTITUTE FOR HEALTH CAREERS

Other names 1

  • Ana R Johnson Former name

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

LicenseStateTypeSpecialty
20960P1097MAMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1871809988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ANNUNCIATION RD APT Z",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021201867",
            "telephone_number": "617-959-1332",
            "fax_number": "617-516-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ANNUNCIATION RD APT Z",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021201867",
            "telephone_number": "617-959-1332",
            "fax_number": "617-516-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANA",
        "middle_name": "R",
        "credential": "ASSISTANT NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MA",
            "license": "20960P1097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA INSTITUTE FOR HEALTH CAREERS",
            "identifier": "20960-P1097",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "JOHNSON",
            "middle_name": "R",
            "credential": "ASSISTANT NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roxbury Crossing, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.