Chantail Chavon Williams

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CL1268192 Issued in FL

Practice address

5474 Williams Rd Ste 1B
Tampa, FL 33610-9345

Phone

(813) 784-3026

NPI assigned

Dec 1, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Classic Hair Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
  • NPI 1730952342
  NPD Authorized official

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1396215406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 KING DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117810",
            "telephone_number": "813-784-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5474 WILLIAMS RD STE 1B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109345",
            "telephone_number": "813-784-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHANTAIL",
        "middle_name": "CHAVON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-01",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "CL1268192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke H Williams, MD
• Candace Williams, SOCIAL WORKER
• Carla Williams
• Catherine Anne Williams, DNP, CRNA, APRN
• Cathy Chiovitti Williams, CTRS
• Christina L Williams, PAAA
• Christopher Brian Williams Sr.
• Christopher R Williams, D.C.
• Christopher Ryan Williams
• Claire Williams, BEHAVIOR TECHNICIAN

• Prosthetics Case Management in Tampa, FL
• Providers in Tampa, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.