Active NPI
Denese A Williams, APRN
- Primary Care Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11010683
- Practice address
- 6856 Axis West Cir
Apt 3302
Orlando, FL 32821-6109 - Phone
- (702) 630-5620
- Fax
- (702) 623-7635
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN11010683 | FL | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | APRN002861 | NV |
Addresses
Primary practice location
6856 Axis West Cir
Apt 3302
Orlando, FL 32821-6109
Mailing address
6856 Axis West Cir
Apt 3302
Orlando, FL 32821-6109
Phone (702) 630-5620
Other practice location 1
3211 W Charleston Blvd
Las Vegas, NV 89102-1953
Phone (702) 871-3730
Other practice location 2
3211 W Charleston Blvd
Las Vegas, NV 89102-1953
Phone (702) 871-3730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN002861 | Other | NV | STATE LICENSE |
| 1578060042 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3211 W Charleston Blvd
Las Vegas, NV 89102-1953
Phone (702) 444-7796
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11010683 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands & Heart Complete Care LLC | Primary Care | Current | Accepting new patients |
| Ma Bo Inc | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Primary Care | Current | Accepting new patients |
| Intermountain Medical Holdings Nevada Inc | Past | Accepting new patients | |
| Carelon Medical Partners of Kansas, PA | Past | Accepting new patients |
Locations
3211 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 444-7796
4625 W Nevso Dr
Ste 2AND3
Las Vegas, NV 89103
Phone (801) 485-5055
Organizations & group practices 5
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.
-
- Primary Care Nurse Practitioner
- Las Vegas, NV
- NPI 1750111738
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
Primary Care
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Leawood, KS
- NPI 1952831422
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1578060042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6856 AXIS WEST CIR",
"address_2": "APT 3302",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328216109",
"telephone_number": "702-630-5620",
"fax_number": "702-623-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6856 AXIS WEST CIR",
"address_2": "APT 3302",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328216109",
"telephone_number": "702-630-5620",
"fax_number": "702-623-7635"
}
],
"practiceLocations": [
{
"address_1": "3211 W Charleston Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021953",
"country_code": "US",
"telephone_number": "702-871-3730",
"fax_number": "702-871-7379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3211 W Charleston Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021953",
"country_code": "US",
"telephone_number": "702-871-3730",
"fax_number": "702-871-7379",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DENESE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11010683",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NV",
"license": "APRN002861",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "APRN002861",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578060042",
"state": "NV"
}
],
"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 Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.