Individual provider Active NPI

Tara Williams, DNP, RN

  • Acute Care Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1376207340
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11046663 Issued in FL
Practice address
16000 Pines Blvd Unit 822701
Pembroke Pines, FL 33082-9270
Phone
(267) 663-8354
NPI assigned
Oct 26, 2021
Reactivated
Mar 11, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X APRN11046663 FL
Gerontology Nurse Practitioner 363LG0600X APRN11046663 FL
Case Manager/Care Coordinator 171M00000X 9447460 FL
Case Management Registered Nurse 163WC0400X 9447460 FL
Acute Care Nurse Practitioner 363LA2100X APRN11046663 FL Primary
Community Health Registered Nurse 163WC1500X 9447460 FL
Case Management Agency 251B00000X

Addresses

Primary practice location

16000 Pines Blvd Unit 822701
Pembroke Pines, FL 33082-9270

Mailing address

16000 Pines Blvd Unit 822701
Pembroke Pines, FL 33082-9270
Phone (267) 663-8354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9447460FLMDCommunity Health Registered Nurse
APRN11046663FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TW Executive Consulting Firm CurrentSince Feb 1, 2022 Accepting new patients

Locations

16000 Pines Blvd
Unit 822701
Pembroke Pines, FL 33082
Phone (267) 663-8354

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1376207340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PINES BLVD UNIT 822701",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330829270",
            "telephone_number": "267-663-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PINES BLVD UNIT 822701",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330829270",
            "telephone_number": "267-663-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "DNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "deactivation_date": "2026-03-04",
        "reactivation_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11046663",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11046663",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "9447460",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "9447460",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11046663",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "9447460",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.