Gwendolyn Wlliams, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

271097 Issued in FL

Practice address

538 Williamsburg Rd
Wewahitchka, FL 32465-4508

Phone

(850) 287-9969

NPI assigned

Jan 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1043783665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 WILLIAMSBURG RD",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654508",
            "telephone_number": "850-287-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 WILLIAMSBURG RD",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654508",
            "telephone_number": "850-287-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLLIAMS",
        "first_name": "GWENDOLYN",
        "name_prefix": "Ms.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "271097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunshine Medical Transport of FL, LLC
• Rita Faye Thompson, APRN
• Tupelo Primary Care
• Daniel Walsh, P.T.
• Heather Elaine Wells, D.O.

• All providers in Wewahitchka, FL
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.