Individual provider Active NPI

Tarice Cheryel Williams, APRN

  • Pediatric Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1548745169
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN9364919 Issued in FL
Practice address
100 E Sybelia Ave Ste 150
Maitland, FL 32751-4773
Phone
(407) 765-5437
NPI assigned
Sep 28, 2018
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9364919 FL
Pediatric Nurse Practitioner 363LP0200X APRN9364919 FL Primary

Addresses

Primary practice location

100 E Sybelia Ave Ste 150
Maitland, FL 32751-4773

Mailing address

481 Alafaya Woods Blvd Apt D
Oviedo, FL 32765-5592
Phone (910) 471-7770

Other practice location 1

481 Alafaya Woods Blvd Apt D
Oviedo, FL 32765-5592
Phone (910) 471-7770

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9364919FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Neuropathy Institute LLC PastSince Sep 1, 2024 Accepting new patients
Charles E. Williams, M.D.P.a. PastSince Dec 1, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1548745169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 ALAFAYA WOODS BLVD APT D",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655592",
            "telephone_number": "910-471-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SYBELIA AVE STE 150",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514773",
            "telephone_number": "407-765-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "481 Alafaya Woods Blvd Apt D",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327655592",
            "country_code": "US",
            "telephone_number": "910-471-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TARICE",
        "middle_name": "CHERYEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9364919",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN9364919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.