Madeleine Mabel Williams, NP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704343406 Issued in MI

Practice address

30600 Telegraph Rd Ste 4000
Bingham Farms, MI 48025-5726

Phone

(248) 752-0347

NPI assigned

Feb 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1932791530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9949 CARDWELL ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503217",
            "telephone_number": "248-924-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD STE 4000",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255726",
            "telephone_number": "248-752-0347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34815 W Michigan Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841895",
            "country_code": "US",
            "telephone_number": "734-713-7189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MADELEINE",
        "middle_name": "MABEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MI",
            "license": "4704343406",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704343406",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704343406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J'Nae Nicole Williams
• Jeremy R Williams
• Katelyn Williams
• Kenneth Williams III
• Lapaige Williams
• Makail Loren Williams
• Makayla Chanelle Williams
• Malinda Williams
• Micah Michele Williams
• Monae Unique Williams

• Registered Nurse in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.