=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477921534
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CATHERINE D. WILLIAMS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/07/2015
-----------------------------------------------------
Last Update Date | 05/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1861 GRAND AVE APT A5
-----------------------------------------------------
City | NORTH BALDWIN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11510-2412
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-459-5266
-----------------------------------------------------
Fax | 516-608-5477
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1861 GRAND AVE UNIT A5
-----------------------------------------------------
City | NORTH BALDWIN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11510-2400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-459-5266
-----------------------------------------------------
Fax | 516-608-5477
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WC0400X
-----------------------------------------------------
Taxonomy Name | Case Management Registered Nurse
-----------------------------------------------------
License Number | 322793
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WD1100X
-----------------------------------------------------
Taxonomy Name | Peritoneal Dialysis Registered Nurse
-----------------------------------------------------
License Number | 322793
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 163WH0200X
-----------------------------------------------------
Taxonomy Name | Home Health Registered Nurse
-----------------------------------------------------
License Number | 322793
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 163WN0300X
-----------------------------------------------------
Taxonomy Name | Nephrology Registered Nurse
-----------------------------------------------------
License Number | 322793
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------