Individual provider Active NPI

Elaine A Williams, FNP/APRN

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1528322153
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337374 Issued in NY
Practice address
2970 Gulf to Bay Blvd Unit C
Clearwater, FL 33759-4202
Phone
(727) 371-4570
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 337374 NY Primary

Addresses

Primary practice location

2970 Gulf to Bay Blvd Unit C
Clearwater, FL 33759-4202

Mailing address

2970 Gulf to Bay Blvd Unit C
Clearwater, FL 33759-4202
Phone (727) 371-4570

Other practice location 1

3400 Vickery Rd
North Syracuse, NY 13212-4526
Phone (315) 671-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150303000333 NY Practitioner - Nurse Practitioner 7618293036 Reassigns benefits to 1 organization
I20150605002914 FL Practitioner - Nurse Practitioner 7618293036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
337374NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Leber, MD PA CurrentSince Mar 11, 2015 Accepting new patients

Locations

2835 W De Leon St
Ste 201
Tampa, FL 33609
Phone (727) 428-6344

Organizations & group practices 2

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1528322153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 GULF TO BAY BLVD UNIT C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594202",
            "telephone_number": "727-371-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 GULF TO BAY BLVD UNIT C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594202",
            "telephone_number": "727-371-4570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Vickery Rd",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132124526",
            "country_code": "US",
            "telephone_number": "315-671-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ELAINE",
        "middle_name": "A",
        "credential": "FNP/APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.