NIKETA DIEDRANETTE WILLIAMS MD
NPI 1467016071
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Niketa Williams's NPI number?

The NPI number for Niketa Williams is 1467016071. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Q: What is Niketa Williams's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Niketa Williams was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 29, 2019PECOS Enrolled

6071 W OUTER DR, DETROIT, MI 48235(401) 339-9505 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Niketa Diedranette Williams Md NPPES

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

NIKETA DIEDRANETTE WILLIAMS MD (NPI 1467016071) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467016071

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNIKETA DIEDRANETTE WILLIAMSCredential: MD

Location Address6071 W OUTER DRDetroit, MI 48235-2624

Mailing Address3015 Independence AveShreveport, LA 71109-3802 · (401) 339-9505

Phone(401) 339-9505

Sole ProprietorNo

Enumeration DateApril 29, 2019

✔ NPI 1467016071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6071 W OUTER DR, Detroit, MI 48235

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niketa Diedranette Williams Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LILIA POPADIUK P.A.

Physician Assistant