DESIREE DIAN WILLIAMS (NPI# 1548502495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548502495 |
| Entity Type | Individual |
| Full Name | DESIREE DIAN WILLIAMS |
| Other Name | DESIREE DIAN ROSALES |
| Credential | FNP-BC |
| Practice Address |
17501 Generations Dr South Bend IN 46635-1589 |
| Practice Telephone | 5742340049 |
| Practice Fax Number | 5742340053 |
| Mailing Telephone | 5742340049 |
| Mailing Fax Number | 5742340053 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
28130302A | IN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013001517 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201267680 | 05 | |
| IN | MEDICARE | 736980001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158089 | Desiree Williams | Massage Therapist | 2341 Northrop Ave Apt 210d, Sacramento, CA 95825-7215 | 2020-09-09 |
| 1861004020 | Desiree Williams | Technician | 1004 N Jones Blvd, Las Vegas, NV 89108-1660 | 2020-08-19 |
| 1265999098 | Desiree N Williams | Registered Nurse | 389 Durbin St, Ramey, PA 16671-1667 | 2019-02-28 |
| 1376916775 | Desiree Williams | Contractor | 1220 Quaise Moor E, Antioch, TN 37013-4966 | 2015-11-06 |
| 1346475605 | Desiree Laquonda Williams | Licensed Practical Nurse | 16109 Mendota Ave, Maple Heights, OH 44137-4813 | 2009-05-15 |
| 1255424784 | Desiree Williams | Chiropractor | 75 Union Ave, Amityville, NY 11701-3023 | 2006-10-02 |
| 1861027070 | Desiree Williams | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2020-03-08 |
| 1285116913 | Desiree Williams | Social Worker | 3711 University Dr Ste C, Durham, NC 27707-6205 | 2018-08-29 |
| 1457853004 | Desiree D Williams | Counselor | 409 N Cooper St, Santa Ana, CA 92703-2409 | 2018-02-28 |
| 1851817860 | Desiree Janine Williams | Physical Therapist | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2017-08-22 |
| Street Address |
17501 GENERATIONS DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051341 | John Glenn Mathis | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-05-24 |
| 1750607354 | Ravi J Patel | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635 | 2010-04-08 |
| 1528222387 | Thomas R Vanderheyden Jr. | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2008-07-10 |
| 1144433467 | Seth F Tatel | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635 | 2007-05-07 |
| 1851304208 | Janet Vardaman | Nurse Anesthetist, Certified Registered | 17501 Generations Dr, South Bend, IN 46635-1589 | 2006-08-15 |
| 1972500874 | Mary Jo Morey | Nurse Practitioner | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-07-07 |
| 1821094525 | Michiana Gastroenterology, Inc | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-06-27 |
| 1770587339 | David G Mark | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-06-10 |
| 1124022082 | Pankaj A Patel | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-06-09 |
| 1649272725 | Michael Alan Manbeck | Internal Medicine | 17501 Generations Dr, South Bend, IN 46635-1589 | 2005-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205334927 | Martha Wahu Mburu | Nurse Practitioner | 17747 Tallyho Dr E, South Bend, IN 46635-1040 | 2018-01-28 |
| 1194245324 | Sameka Renee Dowell Mills | Nurse Practitioner | 112 W Jefferson Blvd Ste 600, South Bend, IN 46601-1921 | 2017-06-20 |
| 1265826226 | Mario Remedios Ortiz | Nurse Practitioner | 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408 | 2015-03-26 |
| 1023400454 | Amanda Lundberg | Nurse Practitioner | 53830 Generations Dr Ste 110, South Bend, IN 46635-1538 | 2015-02-23 |
| 1932520426 | Stephanie Brenneman | Nurse Practitioner | 943 S 25th St, South Bend, IN 46615-1707 | 2013-12-30 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1083919161 | Caitlin Vlaeminck | Nurse Practitioner | 6301 University Commons Ste 320, South Bend, IN 46635-1479 | 2011-01-20 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| 1780620005 | Barbara Ann Norris | Nurse Practitioner | 1432 Lincoln Way E, South Bend, IN 46613-3205 | 2006-06-22 |
| 1184629891 | Sharon K Klingerman | Nurse Practitioner | 100 Navarre Pl, Ste 5550, South Bend, IN 46601-1169 | 2005-06-17 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
Please comment or provide details below to improve the information on DESIREE DIAN WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.