Individual provider Active NPI

Sandra Faye Williams, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lauderhill, FL
National Provider Identifier
1366467078
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME70140 Issued in FL
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

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
265017700MedicaidFL
46443OtherFLBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001228 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 2567432875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C158885CAMDEndocrinology, Diabetes & Metabolism Physician
ME70140FLMDEndocrinology, Diabetes & Metabolism Physician
62736MNMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Community and Family Health Centers Inc CurrentSince Sep 18, 2023 Accepting new patients
Broward Community and Family Health Centers Inc Current Accepting new patients
Broward Community and Family Health Centers Inc CurrentSince Sep 18, 2023 Accepting new patients
Williams Endocrinology Inc PastSince Jun 16, 2008 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.

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

Verify at the official NPI Registry.