Individual provider Active NPI

Tyrone Fray Williams, APRN

  • Family Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1508402843
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN25491122 Issued in FL
Practice address
9500 NW 77TH Ave Ste 18
Miami Lakes, FL 33016-2522
Phone
(305) 364-0017
Fax
(305) 826-8826
NPI assigned
Nov 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN25491122 FL Primary

Addresses

Primary practice location

9500 NW 77TH Ave Ste 18
Miami Lakes, FL 33016-2522

Mailing address

9500 NW 77TH Ave Ste 18
Miami Lakes, FL 33016-2522
Phone (305) 364-0017

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL KINNSER.NET Direct BEST HOME CARE, INC.

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

State licenses

LicenseStateTypeSpecialty
APRN25491122FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Home Care, Inc. CurrentSince Nov 24, 2019 Accepting new patients

Locations

9500 NW 77th Ave
Ste 18
Hialeah Gardens, FL 33016
Phone (305) 364-0017

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": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1508402843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 NW 77TH AVE STE 18",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330162522",
            "telephone_number": "305-364-0017",
            "fax_number": "305-826-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 NW 77TH AVE STE 18",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330162522",
            "telephone_number": "305-364-0017",
            "fax_number": "305-826-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TYRONE",
        "middle_name": "FRAY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN25491122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KINNSER.NET",
            "affiliation": "Y",
            "affiliationName": "BEST HOME CARE, INC.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9500 NW 77th Ave Ste 18",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330162522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.