Tammy Jean Williams, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2613912 Issued in FL

Practice address

1801 N Temple Ave
Starke, FL 32091-1960

Phone

(904) 964-7732

Fax

(904) 964-3829

NPI assigned

Apr 7, 2009

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

Other names 1

• Tammy Morris Brock Former name

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Butler Medical Clinic IncGroup PAC ID 5698849404, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tammywilliams@lbmci-fl.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Lake Butler Medical Clinic Inc

  • Clinic/Center
  • Lake Butler, FL
  • NPI 1871582296
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1285877258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8594 SW 113TH AVE",
            "city": "LAKE BUTLER",
            "state": "FL",
            "postal_code": "320547471",
            "telephone_number": "904-482-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TEMPLE AVE",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320911960",
            "telephone_number": "904-964-7732",
            "fax_number": "904-964-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TAMMY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2613912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "BROCK",
            "middle_name": "MORRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reagan Weller
• Dean Stanton White, M.D.
• April Lynn Whitney, HIS
• Jaqueisha R Williams, PHARMD
• Marcia Williams, APRN
• Marilyn Marie Wilson
• Windsor Center Operations LLC
• Womens Health of North Central Florida, PLLC
• Amber Brittany Wouda, LAT, ATC
• Wendy A Wright, LMT

• Family Nurse Practitioner in Starke, FL
• Providers in Starke, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.