Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700558012 Individual Practitioner Female Practitioner

Clovis Williams , LPN

Licensed Practical Nurse • Port Washington, NY

Professional Overview & Biography Verified Profile Summary

Clovis Williams, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Port Washington, NY. Practice services are available at 300 E OVERLOOK under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 E Overlook

Port Washington, NY 110504730

Telephone 5164726616
Fax 5164726694
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Port Washington, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Port Washington, NY (23738 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: 2021-10-05
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 331335-01

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Gerard Canega , RN

Registered Nurse

NPI 1114598372

Registered Nurse

Julie Bishop , RN

Registered Nurse

NPI 1982331104

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2021

Registered at 300 E OVERLOOK, PORT WASHINGTON, NY 110504730 (Tel: 5164726616)

📍
Updated Business Mailing Address October 05, 2021

Registered at 300 E OVERLOOK, PORT WASHINGTON, NY 110504730 (Tel: 5164726616)

👤
Provider Name / Credentials Updated October 05, 2021

Recorded as CLOVIS WILLIAMS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2021

Licensed Practical Nurse (License #331335-01 in NY)

🟢
Initial NPI Registration & Enumeration October 05, 2021

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: 1700558012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2021
Last Update: October 05, 2021
Sole Proprietor: No

Mailing Address

300 E Overlook

Port Washington, NY 110504730

Phone: 5164726616

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.