Lissie L Williams

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1975 S John Young Pkwy Ste 203
Kissimmee, FL 34741-0605

Phone

(863) 449-7123

NPI assigned

Sep 20, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1366092496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 VAN GOGH DR",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232761",
            "telephone_number": "863-449-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 S JOHN YOUNG PKWY STE 203",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347410605",
            "telephone_number": "863-449-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 Van Gogh Dr",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "FL",
            "postal_code": "338232761",
            "country_code": "US",
            "telephone_number": "863-449-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LISSIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.scarffl.com",
            "affiliation": "Y",
            "endpointDescription": "Community Based Organization",
            "affiliationName": "Serving Children and Reaching Families",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1975 S John Young Pkwy Ste 203",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347410605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katrina A Williams
• Kaydrianna Williams
• Kaysha Williams
• Keisha Louise Williams
• Lashawnda Williams
• Margaret Williams, ARNP
• Racquel Williams
• Taylor Williams, BS, ATC
• Tresha Elizabeth Williams, AGACNP-BC
• Tyyonna Williams, NURSE

• Case Manager/Care Coordinator in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.