NPIMap

Organization Active NPI

Williston Pediatrics, Inc

  • Rural Health Clinic/Center
  • Williston, FL
National Provider Identifier
1497421267
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WILLISTON PEDIATRICS, INC
Practice address
223 N Main St
Williston, FL 32696-2136
Phone
(352) 529-0477
Fax
(352) 529-0406
NPI assigned
Aug 20, 2021
Organization subpart
Yes
Parent organization
WILLISTON PEDIATRICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
James Lee Quinlan, APRN
Title
President
Phone
(352) 529-0477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

223 N Main St
Williston, FL 32696-2136

Mailing address

223 N Main St
Williston, FL 32696-2136
Phone (352) 529-0477

National Provider Directory

National Provider Directory
Tax ID family
Williston Pediatrics Inc2 organizations share this tax ID, including this one
Part of
Williston Pediatrics Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1497421267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962136",
            "telephone_number": "352-529-0477",
            "fax_number": "352-529-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N MAIN ST",
            "city": "WILLISTON",
            "state": "FL",
            "postal_code": "326962136",
            "telephone_number": "352-529-0477",
            "fax_number": "352-529-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON PEDIATRICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILLISTON PEDIATRICS, INC.",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-529-0477",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.