TINA M WILLIAMS (NPI# 1568022176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568022176 |
| Entity Type | Individual |
| Full Name | TINA M WILLIAMS |
| Practice Address |
2079 Forest Ave Staten Island NY 10303-1865 |
| Practice Telephone | 7188156560 |
| Practice Fax Number | 7188156570 |
| Mailing Telephone | 7188156560 |
| Mailing Fax Number | 7188156570 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
344210 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393643 | Tina K Williams | Behavior Technician | 189 Village Pass, Statham, GA 30666-1713 | 2019-05-31 |
| 1487172847 | Tina Teresa Williams | Doula | 1416 W 12th St, Frederick, MD 21702-4214 | 2017-09-06 |
| 1376894840 | Tina Michele Williams | Nurse Practitioner | 1520 Slate Creek Rd Suite 205, Grundy, VIRGINIA 24614 | 2012-09-25 |
| 1154659100 | Tina Denise Williams | Nurse Practitioner | 4299 Elvis Presley Blvd Ste 4, Memphis, TN 38116 | 2009-12-03 |
| 1174753750 | Tina Williams | Counselor | 2621 5th Ave, Suite 4, Scottsbluff, NE 69361-1745 | 2009-07-17 |
| 1689795528 | Tina Rene Williams | Social Worker | 318 W Palmer St, Compton, CA 90220-2107 | 2007-04-02 |
| 1588671978 | Tina Michelle Williams | Dermatology | 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 | 2006-08-01 |
| 1386698249 | Tina Marie Williams | Speech-Language Pathologist | 155 Black Plain Rd, Exeter, RI 02822-2108 | 2006-05-22 |
| 1407478795 | Tina Cecelia Williams | Counselor | 199 Herlong Ave S, Rock Hill, SC 29732-1186 | 2020-05-11 |
| 1932661519 | Tina Bailey Williams | Speech-Language Pathologist | 11721 Kemp Mill Rd, Silver Spring, MD 20902-1722 | 2019-04-03 |
| Street Address |
2079 FOREST AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303-1865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467422758 | Joshua H Lau | Pediatrics | 2079 Forest Ave, Staten Island, NY 10303 | 2006-01-26 |
| 1023579737 | Virginia A Tiralosi | Nurse Practitioner | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2019-03-26 |
| 1427413731 | Kevin Thomas Handsman | Dietitian, Registered | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2015-12-31 |
| 1801271911 | Beacon Christian Community Health Center | Clinic/Center | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2015-07-30 |
| 1104262641 | Appu Darly | Registered Nurse | 2079 Forest Ave, Staten Island, NY 10303 | 2013-05-10 |
| 1720355738 | Geraldine A Cadlaon | Nutritionist | 2079 Forest Ave, Staten Island, NY 10303-1735 | 2011-11-18 |
| 1063714020 | Abe Ralph Emile | Social Worker | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2010-11-24 |
| 1487885430 | Betsy J Mathew | Family Medicine | 2079 Forest Ave, Staten Island, NY 10303-1735 | 2009-08-06 |
| 1639304579 | Sharon E Chu | Family Medicine | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2009-05-21 |
| 1821223769 | Keith Chu | Family Medicine | 2079 Forest Ave, Staten Island, NY 10303-1865 | 2009-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1215540638 | Shanna Hinckson | Nurse Practitioner | 53 Tillman St, Staten Island, NY 10314-5680 | 2020-08-25 |
| 1104438548 | Amanda Power | Nurse Practitioner | 64 Lovell Ave, Staten Island, NY 10314-4969 | 2020-08-18 |
| 1497367817 | Darya Olekhnovich | Nurse Practitioner | 25 Navesink Pl, Staten Island, NY 10306-5622 | 2020-08-18 |
| 1194335372 | Kimberly Sage | Nurse Practitioner | 36 Carly Ct, Staten Island, NY 10309-2735 | 2020-08-03 |
| 1932718855 | Christine Louise Lutrario | Nurse Practitioner | 293 Edinboro Rd, Staten Island, NY 10306-1204 | 2020-07-27 |
| 1447877592 | Mirena Khaimova | Nurse Practitioner | 302 Getz Ave, Staten Island, NY 10312-2433 | 2020-07-05 |
| 1063039220 | Hima Girish | Nurse Practitioner | 64 Galloway Ave, Staten Island, NY 10302-2528 | 2020-07-02 |
| 1245854314 | Desiree Joy Ambrosio | Nurse Practitioner | 45 Burnside Ave, Staten Island, NY 10302-2302 | 2020-06-03 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10303 |
Please comment or provide details below to improve the information on TINA M 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.