Individual provider Active NPI

Nikia Williams

  • Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1043682065
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9236055 Issued in FL
Practice address
1630 SE 18TH St Ste 602
Ocala, FL 34471-5472
Phone
(352) 369-0181
Fax
(352) 369-0246
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9236055 FL Primary

Addresses

Primary practice location

1630 SE 18TH St Ste 602
Ocala, FL 34471-5472

Mailing address

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Phone (239) 274-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161017002746 FL Practitioner - Nurse Practitioner 4486942893 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9236055FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elocin Wellness LLC Nurse Practitioner Current Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Aug 7, 2016 Accepting new patients
Wound Technology Network Inc CurrentSince Nov 2, 2020 Accepting new patients
Orlando Inpatient Medicine, PA CurrentSince Mar 25, 2019 Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

1630 SE 18th St
Ste 602
Ocala, FL 34471
Phone (352) 369-0181

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1507 S Hiawassee Rd
Ste 107
Orlando, FL 32835
Phone (407) 445-9545

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

Organizations & group practices 4

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": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1043682065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-8200",
            "fax_number": "239-278-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SE 18TH ST STE 602",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715472",
            "telephone_number": "352-369-0181",
            "fax_number": "352-369-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NIKIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9236055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.