Active NPI
Sandra Faye Williams, MD
- Endocrinology, Diabetes & Metabolism Physician
- Lauderhill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- ME70140
- Practice address
- 4902 NW 66TH Ave
Lauderhill, FL 33319-7208 - Phone
- (000) 000-0000
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 62736 | MN | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | C158885 | CA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | ME70140 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME70140 | FL |
Addresses
Primary practice location
4902 NW 66TH Ave
Lauderhill, FL 33319-7208
Mailing address
4701 N Federal Hwy
Suite a-27
Fort Lauderdale, FL 33308-4608
Phone (954) 938-9966
Other practice location 1
1295 NW 40th Ave Ste 200
Lauderhill, FL 33313-5801
Phone (954) 583-4710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265017700 | Medicaid | FL | |
| 46443 | Other | FL | BCBS OF FLORIDA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C158885 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
| ME70140 | FL | MD | Endocrinology, Diabetes & Metabolism Physician |
| 62736 | MN | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward Community and Family Health Centers Inc | Current | Accepting new patients | |
| Broward Community and Family Health Centers Inc | Current | Accepting new patients | |
| Broward Community and Family Health Centers Inc | Current | Accepting new patients | |
| Williams Endocrinology Inc | Past | Accepting new patients | |
| Holy Cross Hospital Inc | Internal Medicine | Past | Accepting new patients |
Locations
5010 Hollywood Blvd
Hollywood, FL 33021
5010 Hollywood Blvd
Ste 100B
Hollywood, FL 33021
Phone (954) 967-0028
1295 NW 40th Ave
#200
Lauderhill, FL 33313
Phone (954) 583-4710
168 N Powerline Rd
Pompano Beach, FL 33069
Phone (954) 633-0023
5800 W Hallandale Beach Blvd
West Park, FL 33023
Phone (954) 966-3939
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Hollywood, FL
- NPI 1730121435
-
- Specialist
- Coconut Creek, FL
- NPI 1710141387
-
- Federally Qualified Health Center (FQHC)
- Lauderhill, FL
- NPI 1013345149
-
- Federally Qualified Health Center (FQHC)
- Hollywood, FL
- NPI 1346094984
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1366467078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 N FEDERAL HWY",
"address_2": "SUITE A-27",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084608",
"telephone_number": "954-938-9966",
"fax_number": "954-938-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 NW 66TH AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333197208",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [
{
"address_1": "1295 NW 40th Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Lauderhill",
"state": "FL",
"postal_code": "333135801",
"country_code": "US",
"telephone_number": "954-583-4710",
"fax_number": "954-967-8141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "SANDRA",
"middle_name": "FAYE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MN",
"license": "62736",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "C158885",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "FL",
"license": "ME70140",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME70140",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265017700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "46443",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.