Active NPI
Tara Williams, DNP, RN
- Acute Care Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1376207340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11046663
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9447460 | FL | MD | Community Health Registered Nurse |
| APRN11046663 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TW Executive Consulting Firm | Current | 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.
-
- Clinical Medical Laboratory
- Pembroke Pines, FL
- NPI 1134871627
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.