Active NPI
Gregshelle Williams
- Home Health Aide
- Jacksonville, FL
National Provider Identifier
1235755729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- G20000048360
- Practice address
- 10525 Monaco Dr Apt 196
Jacksonville, FL 32218-5472 - Phone
- (904) 802-5066
- NPI assigned
- Jun 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | G20000048360 | FL | Primary |
Addresses
Primary practice location
10525 Monaco Dr Apt 196
Jacksonville, FL 32218-5472
Mailing address
10525 Monaco Dr Apt 196
Jacksonville, FL 32218-5472
Phone (904) 802-5066
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 |
|---|---|---|---|
| G20000048360 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1235755729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10525 MONACO DR APT 196",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185472",
"telephone_number": "904-802-5066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10525 MONACO DR APT 196",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185472",
"telephone_number": "904-802-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "GREGSHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "G20000048360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.