Active NPI
Elizabeth Williams
- Health Educator
- Laguna Niguel, CA
National Provider Identifier
1962966531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 28066 Klamath CT
Laguna Niguel, CA 92677-7018 - Phone
- (951) 837-0301
- NPI assigned
- Jan 28, 2019
- Reactivated
- Oct 11, 2024
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
28066 Klamath CT
Laguna Niguel, CA 92677-7018
Mailing address
28066 Klamath CT
Laguna Niguel, CA 92677-7018
Phone (951) 837-0301
Other names 1
- Elizabeth Doudera
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anointed Births | Health Educator | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734220800000",
"number": "1962966531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28066 KLAMATH CT",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777018",
"telephone_number": "951-837-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28066 KLAMATH CT",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777018",
"telephone_number": "951-837-0301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"deactivation_date": "2024-01-17",
"reactivation_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "DOUDERA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.