Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639624810 Individual Practitioner Female Practitioner

Domique Williams , MS, WHNP

Nurse Practitioner • Mount Vernon, NY

Professional Overview & Biography Verified Profile Summary

Domique Williams, MS, WHNP is a registered healthcare professional specializing in Nurse Practitioner in Mount Vernon, NY. Practice services are available at 105 STEVENS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Stevens Ave
Suite 506

Mount Vernon, NY 105502686

Telephone 9146652229
Associated Practice Facility / Clinic
🏢 Jay Mermelstein Dpm Pc Facility NPI 1770567166

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mount Vernon, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Mount Vernon, NY (3155 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY 607735-1

(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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Sheila Pongnon , MD

Obstetrics & Gynecology

NPI 1457379331

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2017

Registered at 105 STEVENS AVE, SUITE 506, MOUNT VERNON, NY 105502686 (Tel: 9146652229)

📍
Updated Business Mailing Address April 20, 2017

Registered at 105 STEVENS AVENUE, SUITE 506, MOUNT VERNON, NY 10550 (Tel: 9146652229)

👤
Provider Name / Credentials Updated April 20, 2017

Recorded as DOMIQUE WILLIAMS, MS, WHNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Nurse Practitioner (License #607735-1 in NY)

NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2016

Registered at 105 STEVENS AVE, SUITE 506, MOUNT VERNON, NY 105502686 (Tel: 9146652229)

📍
Updated Business Mailing Address August 24, 2016

Registered at 105 STEVENS AVENUE, SUITE 506, MOUNT VERNON, NY 10550 (Tel: 9146652229)

👤
Provider Name / Credentials Updated August 24, 2016

Recorded as DOMIQUE WILLIAMS, MS, WHNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Nurse Practitioner (License #607735-1 in NY)

🟢
Initial NPI Registration & Enumeration August 17, 2016

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: 1639624810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2016
Last Update: April 20, 2017
Sole Proprietor: No

Mailing Address

105 Stevens Avenue, Suite 506

Mount Vernon, NY 10550

Phone: 9146652229

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.