Jasmine Tashawn Williams

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

43426 Issued in FL

Practice address

1441 Manotak Ave Apt 1613
Jacksonville, FL 32210-1071

Phone

(904) 418-4731

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1164043758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MANOTAK AVE APT 1613",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 MANOTAK AVE APT 1613",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101071",
            "telephone_number": "904-418-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JASMINE",
        "middle_name": "TASHAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "43426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rsa",
            "affiliation": "Y",
            "affiliationName": "OneBlood, Inc",
            "address_1": "8669 Commodity Cir",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328199054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jalisa Williams
• James B. Williams Jr., PHD
• Janice V Williams
• Jasirah Damaris Williams
• Jasmine Williams
• Javawnya S Williams, ARNP
• Jehmia Williams
• Jeremy Alle Williams, COTA/L
• Jhauntae N Williams
• Joan Teresa Williams, LCSW

• Phlebology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Phlebology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.