Connie Renea Williams, ARNP-BC, MSN, BSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9191785 Issued in FL

Practice address

225 N 1St St
Leesburg, FL 34748-5150

Phone

(407) 905-8827

Fax

(352) 360-2389

NPI assigned

Jul 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers, IncGroup PAC ID 4082515390, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: connie.williams@chcfl.eclinicaldirectplus.com

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.

• Community Health Centers, Inc

  • Community/Retail Pharmacy
  • Apopka, FL
  • NPI 1134258684
  Medicare reassignment Care Compare group NPD
• Abu Azizullah MD PA

  • Internal Medicine Physician
  • Lady Lake, FL
  • NPI 1609064724
  Medicare reassignment NPD
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1396829677
  NPD
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1710259965
  NPD
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1831273119
  NPD
• Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winter Garden, FL
  • NPI 1275602476
  NPD (past)
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1366531618
  NPD (past)
• Premiere Care Providers LLC

  • Internal Medicine Physician
  • Lady Lake, FL
  • NPI 1225675895
  NPD (past)

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1386028173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "321-221-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 1ST ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485150",
            "telephone_number": "407-905-8827",
            "fax_number": "352-360-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11032 Moore St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347884341",
            "country_code": "US",
            "telephone_number": "352-408-7094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CONNIE",
        "middle_name": "RENEA",
        "credential": "ARNP-BC, MSN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9191785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Renee White, CNA
• Teresa A. White
• Sadie Wilkins
• Ashlee Williams
• Cheryl Williams, OWNER
• Renee Gabriel Williams, APRN
• Samuel Williams, OD
• Tabitha Williams
• Zena Tamara Williams
• Kaneitra L. Williamson, PA-C

• Adult Health Nurse Practitioner in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.