Caelan Williams, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL6545 Issued in FL

Practice address

1658 Kings Rd
Jacksonville, FL 32209-6167

Phone

(904) 470-8000

NPI assigned

Feb 8, 2020

Last updated

Mar 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1073145983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 FEATHERWOOD TRL",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124180",
            "telephone_number": "863-513-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 KINGS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322096167",
            "telephone_number": "904-470-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAELAN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-08",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL6545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynn Williams, MA, RD, LDN
• Blanche McCool Williams, PH. D.
• Bradley G Williams, MD
• Brenda R. Williams
• Brianna Alexis Williams
• Carllisa Williams, APRN
• Carol Williams, RRT
• Carolee S Williams, PTA
• Caroline Parker Williams, M.D.
• Chandra M Williams, O.D.

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.