Individual provider Active NPI

Denise Williams, ARNP

  • Gerontology Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1326455536
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN9308298 Issued in FL
Practice address
5575 S Semoran Blvd Ste 26
Orlando, FL 32822-1781
Phone
(407) 401-8637
NPI assigned
Jul 20, 2014
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN9308298 FL Primary

Addresses

Primary practice location

5575 S Semoran Blvd Ste 26
Orlando, FL 32822-1781

Mailing address

8001 New River Dr
Apt. 18107
Orlando, FL 32821-5432

Other practice location 1

3440 Hollywood Blvd
460
Hollywood, FL 33021-6927
Phone (407) 973-8190

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
I20200406001154 FL Practitioner - Nurse Practitioner 8224467667 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince May 2, 2022 Accepting new patients
Wound Technology Network Inc CurrentSince Mar 1, 2020 Accepting new patients

Locations

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

5575 S Semoran Blvd
Ste 26
Orlando, FL 32822
Phone (407) 401-8637

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

Interoperability endpoints

  • Direct secure messaging: denise.williams@wellmed.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1405814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1326455536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 NEW RIVER DR",
            "address_2": "APT. 18107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328215432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 S SEMORAN BLVD STE 26",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221781",
            "telephone_number": "407-401-8637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 Hollywood Blvd",
            "address_2": "460",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330216927",
            "country_code": "US",
            "telephone_number": "407-973-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DENISE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-20",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9308298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.