Individual provider Active NPI

Constance Anna Williams

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1366809329
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9364264 Issued in FL
Practice address
10008 Spanish Cherry CT
Tampa, FL 33647-3715
Phone
(813) 340-4866
Fax
(813) 374-2407
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9364264 FL Primary

Addresses

Primary practice location

10008 Spanish Cherry CT
Tampa, FL 33647-3715

Mailing address

10008 Spanish Cherry CT
Tampa, FL 33647-3715
Phone (813) 340-4866

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
I20160412002731 FL Practitioner - Nurse Practitioner 1658679303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accord Medical Group,PLLC CurrentSince Feb 17, 2016 Accepting new patients

Locations

5112 N Habana Ave
Tampa, FL 33614
Phone (813) 374-2406

Organizations & group practices 1

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1366809329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 SPANISH CHERRY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473715",
            "telephone_number": "813-340-4866",
            "fax_number": "813-374-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 SPANISH CHERRY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473715",
            "telephone_number": "813-340-4866",
            "fax_number": "813-374-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CONSTANCE",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9364264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.