Tiffanie Williams

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

1344 Mit CT NW
Palm Bay, FL 32907

Phone

(321) 210-9903

Fax

(877) 617-8004

NPI assigned

Apr 5, 2018

Last updated

Jul 17, 2018By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Helping Heartz From Above LLC

  • Developmental Disabilities Clinic/Center
  • Palm Bay, FL
  • NPI 1477059541
  NPD (past) Authorized official

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1518463785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120264",
            "city": "W MELBOURNE",
            "state": "FL",
            "postal_code": "329120264",
            "telephone_number": "716-491-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 MIT CT NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-210-9903",
            "fax_number": "877-617-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIFFANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Williams, DO
• Destyni Williams, OTR/L
• Maya Williams
• Monique S Williams, RBT
• Shelly R Williams, LISW
• Wilson Speech, Langauge, and Consulting LLC
• Andria Edries Wilson Thompson
• Jeffrey Lynn Wilson, D.O.
• John Leonard Wilson Jr., PTA
• Levi Andrew Wilson

• Developmental Disabilities Clinic/Center in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.