Active NPI
Nina Williams, MT(ASCP)
- Medical Technologist
- Fort Washakie, WY
National Provider Identifier
1922339449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- MT 109011
- Practice address
- Black Coal Rd BLDG 29
Ft Washakie, WY 82514 - Phone
- (307) 332-7672
- Fax
- (307) 332-7514
- NPI assigned
- Jan 22, 2010
- Last updated
- Jan 22, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | MT 109011 | WY | Primary |
Addresses
Primary practice location
Black Coal Rd BLDG 29
Ft Washakie, WY 82514
Mailing address
315 Hillwood Dr
Riverton, WY 82501-9336
Phone (307) 856-9281
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 |
|---|---|---|---|
| MT 109011 | WY | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1922339449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 HILLWOOD DR",
"city": "RIVERTON",
"state": "WY",
"postal_code": "825019336",
"telephone_number": "307-856-9281",
"fax_number": "307-857-2898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLACK COAL RD BLDG 29",
"city": "FT WASHAKIE",
"state": "WY",
"postal_code": "82514",
"telephone_number": "307-332-7672",
"fax_number": "307-332-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "NINA",
"credential": "MT(ASCP)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "WY",
"license": "MT 109011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washakie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.