Individual provider Active NPI

Austin Lee Williams, CAC/OSTEO MD-STUDENT

  • Addiction (Substance Use Disorder) Counselor
  • Sunrise, FL
National Provider Identifier
1003425919
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Sep 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.