Individual provider Active NPI

Karishia Williams, APRN

  • Gerontology Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1134833007
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11034121 Issued in FL
Practice address
1062 Lake Sebring Dr
Sebring, FL 33870-1426
Phone
(863) 277-6238
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X RN9325192 FL
Gerontology Nurse Practitioner 363LG0600X APRN11034121 FL Primary

Addresses

Primary practice location

1062 Lake Sebring Dr
Sebring, FL 33870-1426

Mailing address

4255 Sturgeon Dr
Sebring, FL 33870-8484
Phone (863) 449-0214

Other practice location 1

4255 Sturgeon Dr
Sebring, FL 33870-8484
Phone (863) 449-0214

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
I20250121003211 FL Practitioner - Nurse Practitioner 6305375361 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9325192FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Medical Group, PL Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Nursin & Truckin LLC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients

Locations

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1134833007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 STURGEON DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338708484",
            "telephone_number": "863-449-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 LAKE SEBRING DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701426",
            "telephone_number": "863-277-6238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 Sturgeon Dr",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338708484",
            "country_code": "US",
            "telephone_number": "863-449-0214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KARISHIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9325192",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11034121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.