Active NPI
Sandrell Williams, ARNP
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1184040891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9281116
- Practice address
- 6800 N Dale Mabry Hwy Ste 186
Tampa, FL 33614-3998 - Phone
- (813) 839-3438
- NPI assigned
- Mar 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9281116 | FL | Primary |
Addresses
Primary practice location
6800 N Dale Mabry Hwy Ste 186
Tampa, FL 33614-3998
Mailing address
4313 S Florida Ave # 1005
Lakeland, FL 33813-1654
Phone (863) 457-4919
Other names 1
- Sandrell Leggett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9281116 | FL | MD | Nurse Practitioner |
Interoperability endpoints
- sandrellwilliams@lp.allscriptsdirect.net
- sandrell.williams.1@17484.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1184040891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4313 S FLORIDA AVE # 1005",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131654",
"telephone_number": "863-457-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 N DALE MABRY HWY STE 186",
"city": "TAMPA",
"state": "FL",
"postal_code": "336143998",
"telephone_number": "813-839-3438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SANDRELL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-05",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9281116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRELL",
"last_name": "LEGGETT",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.