Individual provider Active NPI

Meshandra Williams, ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1366923393
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9354864 Issued in FL
Practice address
1201 6TH Ave W Ste 100
Bradenton, FL 34205-7413
Phone
(941) 304-7001
Fax
(941) 200-4130
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 9354864 FL
Family Nurse Practitioner 363LF0000X 9354864 FL Primary

Addresses

Primary practice location

1201 6TH Ave W Ste 100
Bradenton, FL 34205-7413

Mailing address

1201 6TH Ave W
Ste 100 Unit 697
Bradenton, FL 34205
Phone (941) 304-7001

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
I20190228001103 FL Practitioner - Nurse Practitioner 0244579787 Reassigns benefits to 3 organizations
Practice locations: Brandon, FL; Ellenton, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9354864FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Psychiatric Group LLC Multi-Specialty CurrentSince Feb 27, 2023 Accepting new patients
Just Psych LLC Multi-Specialty CurrentSince Jan 15, 2024 Accepting new patients
Mental Health Wellness LLC Multi-Specialty CurrentSince Jul 21, 2025 Accepting new patients

Locations

106 W Windhorst Rd
Brandon, FL 33510
Phone (678) 923-6025

509 8th Ave W
Ste 100
Palmetto, FL 34221
Phone (941) 304-7001

110 Athens St
Ste O
Tarpon Springs, FL 34689
Phone (727) 249-4898

Organizations & group practices 3

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1366923393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 6TH AVE W",
            "address_2": "STE 100 UNIT 697",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34205",
            "telephone_number": "941-304-7001",
            "fax_number": "941-200-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 6TH AVE W STE 100",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342057413",
            "telephone_number": "941-304-7001",
            "fax_number": "941-200-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MESHANDRA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9354864",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9354864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.