Individual provider Active NPI

Kimone Natalia Williams, FNP

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1215308325
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9196312 Issued in FL
Practice address
1826 SW 181St Way
Miramar, FL 33029-5221
Phone
(305) 934-9058
NPI assigned
Oct 14, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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 ARNP 9196312 FL Primary

Addresses

Primary practice location

1826 SW 181St Way
Miramar, FL 33029-5221

Mailing address

1826 SW 181St Way
Miramar, FL 33029-5221
Phone (305) 934-9058

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
I20180604002510 FL Practitioner - Nurse Practitioner 5496010977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seasons Medical Group of Florida PAGroup PAC ID 0941451314, 44 clinicians

Practice addresses (Care Compare)

1815 Griffin Rd
Suite 410
Dania Beach, FL 33004-2252
Phone (954) 624-7900

1901 SW 172 Ave
Miramar, FL 33029-5592
Phone (954) 538-5000

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-3982

3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 265-5501

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 276-5401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.26 of 100Reported as group
Quality
60.1
Improvement activities
40
Cost
80.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9196312FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Florida PA CurrentSince Nov 2, 2019 Accepting new patients
Seasons Hospice & Palliative Care of Broward Florida LLC Past Accepting new patients

Locations

1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

6400 Shafer Ct
Ste 700
Rosemont, IL 60018

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1215308325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 SW 181ST WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295221",
            "telephone_number": "305-934-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 SW 181ST WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295221",
            "telephone_number": "305-934-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMONE",
        "middle_name": "NATALIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9196312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.