1. Home
  2. Directory
  3. Washington
  4. Tukwila
  5. Nurse Practitioner
  6. NPI Profile

MARVIN WALLACE WILLIAMS PLLC
NPI 1255066577
Nurse Practitioner - Psychiatric/Mental Health in Tukwila, WA

Active since July 20, 2022
14900 INTERURBAN AVE S STE 271-111, TUKWILA, WA 98168(210) 883-5936 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marvin Wallace Williams Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIN WALLACE WILLIAMS PLLC (NPI 1255066577) is a healthcare organization registered as a psychiatric/mental health in Tukwila, Washington and active in the NPI registry since July 2022. The organization lists Marvin Wallace Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1255066577
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMARVIN WALLACE WILLIAMS PLLC
Location Address14900 INTERURBAN AVE S STE 271-111Tukwila, WA 98168-4635
Mailing Address14900 Interurban Ave S Ste 271-111Tukwila, WA 98168-4635 · (210) 883-5936
Phone(210) 883-5936
Organization SubpartNo
Authorized OfficialMarvin Wallace WilliamsOwner · (210) 883-5936
Enumeration DateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1255066577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
14900 INTERURBAN AVE S STE 271-111, Tukwila, WA 98168
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Wallace Williams PLLC's NPI number?

The NPI number for Marvin Wallace Williams PLLC is 1255066577. It was assigned to this organization in the NPPES registry on July 20, 2022.

Where is Marvin Wallace Williams PLLC located?

Marvin Wallace Williams PLLC is located at 14900 Interurban Ave S Ste 271-111, Tukwila, WA 98168. The listed phone number is (210) 883-5936.

What is Marvin Wallace Williams PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Marvin Wallace Williams PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Marvin Wallace Williams PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marvin Wallace Williams PLLC was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.