Portia Williams, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11010453 Issued in FL

Practice address

2225 SW Newport Isles Blvd
Port St Lucie, FL 34953-4575

Phone

(561) 633-0104

Fax

(888) 411-5724

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Portia Boatwright 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, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Deno Services IncGroup PAC ID 7618238726, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Deno Services Inc

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1447764840

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Patel Medical Consulting, LLC

  • Family Medicine Physician
  • Palm City, FL
  • NPI 1750887584

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1295344604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 SW NEWPORT ISLES BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534575",
            "telephone_number": "561-633-0104",
            "fax_number": "888-411-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SW NEWPORT ISLES BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534575",
            "telephone_number": "561-633-0104",
            "fax_number": "888-411-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PORTIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "9322322",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11010453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PORTIA",
            "last_name": "BOATWRIGHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cherryl Williams, AP
• Jason Paul Williams, DO
• Katherine Suzzanne Williams
• Maryse Williams
• Patricia Williams
• Schnaider Kay Kay Williams, RBT
• Timothy Williams, DO
• Violet Williams
• Natasha Williamson Jones, ARNP
• Alessandra Williamson, ARNP

• Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.