Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902079189 Individual Practitioner Female Practitioner

Dr. Amanda Dawn Williams , DO

Pediatrics • Saint Joseph, MO

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Williams, DO is a registered healthcare professional specializing in Pediatrics in Saint Joseph, MO. Practice services are available at 805 N 36TH ST STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

805 N 36th St Ste B

Saint Joseph, MO 645062954

Telephone 8163966026
Fax 8163986896
Associated Practice Facility / Clinic
🏢 Peacock Pediatrics, Llc Facility NPI 1598399784

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Joseph, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Saint Joseph, MO (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 2007016867

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200642020A (KS)
Medicaid State Provider ID
1902079189 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sarah Sass

Nurse Practitioner - Pediatrics

NPI 1346702362
Genese Marshall , APN

Nurse Practitioner - Family

NPI 1558696500

Advanced Practice Nurse

NPI 1831259654

Doctor of Medicine (M.D.)

Dana Kapp , PNP-BC

Nurse Practitioner - Pediatrics

NPI 1982764718

Pediatric Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 28, 2020

Registered at 805 N 36TH ST STE B, SAINT JOSEPH, MO 645062954 (Tel: 8163966026)

📍
Updated Business Mailing Address August 28, 2020

Registered at 805 N 36TH ST STE B, SAINT JOSEPH, MO 645062954 (Tel: 8163966026)

NPI Profile Active November 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 28, 2017

Registered at 902 N. RIVERSIDE RD.,, STE. 100, ST JOSEPH, MO 645072566 (Tel: 8162711350)

📍
Updated Business Mailing Address November 28, 2017

Registered at 902 N. RIVERSIDE RD.,, STE. 100, ST JOSEPH, MO 645072566 (Tel: 8162711350)

👤
Provider Name / Credentials Updated November 28, 2017

Recorded as AMANDA WILLIAMS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2017

Pediatrics (License #2007016867 in MO)

NPI Profile Active October 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2012

Registered at 902 N. RIVERSIDE RD.,, STE. 100, ST JOSEPH, MO 645072566 (Tel: 8162711350)

📍
Updated Business Mailing Address October 15, 2012

Registered at 902 N. RIVERSIDE RD.,, STE. 100, ST JOSEPH, MO 645072566 (Tel: 8162711350)

👤
Provider Name / Credentials Updated October 15, 2012

Recorded as AMANDA WILLIAMS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2012

Pediatrics (License #2007016867 in MO)

🟢
Initial NPI Registration & Enumeration April 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902079189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2008
Last Update: August 28, 2020
Sole Proprietor: No

Mailing Address

805 N 36th St Ste B

Saint Joseph, MO 645062954

Phone: 8163966026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.