Individual provider Active NPI

Saphina Williams, ARNP

  • Family Nurse Practitioner
  • Fleming Island, FL
National Provider Identifier
1104234905
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9195879 Issued in FL
Practice address
4689 US Highway 17 Ste 2-5
Fleming Island, FL 32003-4831
Phone
(904) 269-6526
Fax
(904) 269-6527
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9195879 FL Primary

Addresses

Primary practice location

4689 US Highway 17 Ste 2-5
Fleming Island, FL 32003-4831

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

10232 San Jose Blvd
Jacksonville, FL 32257-6203
Phone (904) 269-6526

Other practice location 2

105 Badger Park Dr # 1-4
St Johns, FL 32259-1165
Phone (904) 269-6526

Other identifiers 3

IdentifierTypeStateIssuer
8964364OtherWAMEDICARE PIN
120526400MedicaidFL
1104234905MedicaidWA

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
I20151028002695 FL Practitioner - Nurse Practitioner 6103135330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4689 US Hwy 17
Suite 2 5
Fleming Island, FL 32003-4831
Phone (904) 269-6526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60728323WAMDNurse Practitioner
APRN9195879FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Dec 4, 2023 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

4689 US Highway 17
Ste 25
Fleming Island, FL 32003
Phone (904) 269-6526

10232 San Jose Blvd
Jacksonville, FL 32257
Phone (904) 292-3700

1658 St Vincents Way
Ste 340
Middleburg, FL 32068
Phone (904) 269-6526

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

105 Badger Park Dr
Ste 14
St Johns, FL 32259

105 Badger Park Dr
#14
St Johns, FL 32259
Phone (904) 269-6526

Organizations & group practices 2

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1104234905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4689 US HIGHWAY 17 STE 2-5",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034831",
            "telephone_number": "904-269-6526",
            "fax_number": "904-269-6527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10232 San Jose Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322576203",
            "country_code": "US",
            "telephone_number": "904-269-6526",
            "fax_number": "904-269-6527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Badger Park Dr # 1-4",
            "address_purpose": "LOCATION",
            "city": "St Johns",
            "state": "FL",
            "postal_code": "322591165",
            "country_code": "US",
            "telephone_number": "904-269-6526",
            "fax_number": "833-885-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SAPHINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9195879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "8964364",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120526400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104234905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.