Organization Active NPI

Williams & Co LLC

  • Primary Care Clinic/Center
  • Orlando, FL
National Provider Identifier
1376110775
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WILLIAMS & CO LLC
Practice address
6856 Axis West Cir Apt 3302
Orlando, FL 32821-6109
Phone
(702) 623-7635
Fax
(702) 623-7635
NPI assigned
Jun 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Denese Williams, NP-C
Title
Authorized Official
Phone
(702) 630-5620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6856 Axis West Cir Apt 3302
Orlando, FL 32821-6109

Mailing address

6856 Axis West Cir Apt 3302
Orlando, FL 32821-6109
Phone (702) 630-5620

Other practice location 1

10033 Golden Bluff Ave
Las Vegas, NV 89148-4781
Phone (702) 630-5620

Other names 2

  • Jabey Complete Care Doing business as
  • Jabez Complete Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

7925 W Russell Rd
Unit 400905
Las Vegas, NV 89113

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1376110775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6856 AXIS WEST CIR APT 3302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216109",
            "telephone_number": "702-630-5620",
            "fax_number": "702-623-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6856 AXIS WEST CIR APT 3302",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216109",
            "telephone_number": "702-623-7635",
            "fax_number": "702-623-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10033 Golden Bluff Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484781",
            "country_code": "US",
            "telephone_number": "702-630-5620",
            "fax_number": "702-623-7635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILLIAMS & CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DENESE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "702-630-5620",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jabey Complete Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jabez Complete Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jabez Complete Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.