Active NPI
Austin Lee Williams, CAC/OSTEO MD-STUDENT
- Addiction (Substance Use Disorder) Counselor
- Sunrise, FL
National Provider Identifier
1003425919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1398 SW 160TH
Sunrise, FL 33326 - Phone
- (954) 290-8446
- NPI assigned
- Jul 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1398 SW 160TH
Sunrise, FL 33326
Mailing address
7748 Rustling Pines Dr
Milton, FL 32583-3007
Phone (850) 407-0607
Other practice location 1
1971 University Blvd
Lynchburg, VA 24515-0002
Phone (850) 812-3054
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | na | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Lee Williams Medical Billing | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Pace, FL
- NPI 1720675937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1003425919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7748 RUSTLING PINES DR",
"city": "MILTON",
"state": "FL",
"postal_code": "325833007",
"telephone_number": "850-407-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 SW 160TH",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33326",
"telephone_number": "954-290-8446"
}
],
"practiceLocations": [
{
"address_1": "1971 University Blvd",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245150002",
"country_code": "US",
"telephone_number": "850-812-3054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AUSTIN",
"middle_name": "LEE",
"credential": "CAC/OSTEO MD-STUDENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-27",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "na",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1398 sw 160th",
"city": "sunrise",
"state": "FL",
"country_code": "US",
"postal_code": "33326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.