Active NPI
Joan Marie Williams
- Registered Nurse
- La Verne, CA
National Provider Identifier
1962620112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 255438
- Practice address
- 1022 Rosemary LN
La Verne, CA 91750-1858 - Phone
- (909) 599-0181
- NPI assigned
- Apr 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 255438 | CA | Primary |
Addresses
Primary practice location
1022 Rosemary LN
La Verne, CA 91750-1858
Mailing address
1022 Rosemary LN
La Verne, CA 91750-1858
Phone (909) 599-0181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EPS016350 | Other | CA | PROVIDER # |
| RVN004510 | Other | CA | PROV # |
Other names 1
- Joan M Williams
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 |
|---|---|---|---|
| 255438 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962620112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 ROSEMARY LN",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917501858",
"telephone_number": "909-599-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 ROSEMARY LN",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917501858",
"telephone_number": "909-599-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JOAN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "255438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER #",
"identifier": "EPS016350",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROV #",
"identifier": "RVN004510",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "WILLIAMS",
"middle_name": "M",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.