DOMIQUE WILLIAMS (NPI# 1639624810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639624810 |
| Entity Type | Individual |
| Full Name | DOMIQUE WILLIAMS |
| Credential | MS, WHNP |
| Practice Address |
105 Stevens Ave Suite 506 Mount Vernon NY 10550-2686 |
| Mailing Address |
105 Stevens Avenue Suite 506 Mount Vernon NY 10550 |
| Practice Telephone | 9146652229 |
| Mailing Telephone | 9146652229 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 607735-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 STEVENS AVE SUITE 506 |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-2686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359935 | Eric Makolo | Internal Medicine | 105 Stevens Ave, Suite 609, Mount Vernon, NY 10550-2686 | 2005-10-11 |
| 1174977722 | Pratik Shah | Pharmacist | 105 Stevens Ave, Mount Vernon, NY 10550-2686 | 2016-04-20 |
| 1750766762 | Westside New York Medical, PC | Obstetrics & Gynecology | 105 Stevens Ave, Suite 209, Mount Vernon, NY 10550-2686 | 2015-07-21 |
| 1013313758 | Westchester Women's Medical Healthcare P.l.l.c. | Obstetrics & Gynecology | 105 Stevens Ave, Suite 505, Mount Vernon, NY 10550-2686 | 2014-11-07 |
| 1699110569 | Nadeem Shahid | Family Medicine | 105 Stevens Ave, Ste 306, Mount Vernon, NY 10550-2680 | 2013-05-06 |
| 1760774848 | Ramesh S. Naik Physicians P.l.l.c. | Clinic/Center | 105 Stevens Ave, 508, Mount Vernon, NY 10550-2686 | 2011-05-09 |
| 1952605586 | Cardiology Consultants of Westchester, PC | Internal Medicine | 105 Stevens Ave, Suite 101, Mount Vernon, NY 10550-2686 | 2010-12-22 |
| 1912239591 | Westchester Pulmonary Services PC | Internal Medicine | 105 Stevens Ave, Suite 609, Mount Vernon, NY 10550-2686 | 2010-02-05 |
| 1942432893 | Southern Westchester Pediatrics | Pediatrics | 105 Stevens Ave, 106, Mount Vernon, NY 10550-2686 | 2009-08-11 |
| 1538306212 | Jay Mermelstein, Dpm.pc | Durable Medical Equipment & Medical Supplies | 105 Stevens Ave, Suite 301, Mount Vernon, NY 10550-2686 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353464 | Ekaterina Melnik | Nurse Practitioner | 1809 Lindsay Loop, Mount Vernon, WA 98274-6135 | 2020-07-13 |
| 1518520998 | Mary Lynn Peeks | Nurse Practitioner | 4810 Broadway St, Mount Vernon, IL 62864-6752 | 2019-04-21 |
| 1144749748 | Charnell Sue Allan | Nurse Practitioner | 10627 Lawrence 1170, Mount Vernon, MO 65712-8174 | 2017-09-14 |
| 1922550235 | Jas Medical LLC | Nurse Practitioner | 11301 Upper Gilchrist Rd, Mount Vernon, OH 43050-8923 | 2016-11-03 |
| 1427438266 | Petrona Ennis-welch | Nurse Practitioner | 414 Mcclellan Ave Ph, Mount Vernon, NY 10553-2103 | 2015-06-07 |
| 1033292909 | Aundrea F. Pippel | Nurse Practitioner | 208 S 14th St, Mount Vernon, WA 98274-4117 | 2006-10-23 |
| 1215951876 | Lynn M Followell | Nurse Practitioner | 1501 Mcpherson Ave, Mount Vernon, IL 62864-2831 | 2006-07-27 |
| 1649217886 | Stephanie Michele Friess | Nurse Practitioner | 713 1st Ave Nw, Mount Vernon, IA 52314-1478 | 2006-05-31 |
| 1275515363 | Margaret Ruth Aubin | Nurse Practitioner | 205 Stewart Rd, Mount Vernon, WA 98273-9607 | 2005-11-15 |
| 1205821923 | Sharron Gingrich | Nurse Practitioner | 2 Good Samaritan Way Ste 405, Mount Vernon, IL 62864-2478 | 2005-09-19 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
Please comment or provide details below to improve the information on DOMIQUE 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.