Active NPI
Cherish Williams
- Community Health Worker
- Orlando, FL
National Provider Identifier
1558519199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 230566
- Practice address
- 840 W Lake Mann Dr
Orlando, FL 32805-3476 - Phone
- (407) 401-8308
- NPI assigned
- Sep 8, 2008
- Last updated
- Sep 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 230566 | FL | Primary |
Addresses
Primary practice location
840 W Lake Mann Dr
Orlando, FL 32805-3476
Mailing address
PO Box 540072
Orlando, FL 32854-0072
Phone (407) 401-8308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000063900 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 230566 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1558519199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540072",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328540072",
"telephone_number": "407-401-8308",
"fax_number": "407-802-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 W LAKE MANN DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328053476",
"telephone_number": "407-401-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHERISH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-08",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "230566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000063900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.