Camryn Ashley Javier Williams

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

W452101997100 Issued in FL

Practice address

13258 Harbor Shore LN
Winter Garden, FL 34787-4381

Phone

(407) 516-0632

NPI assigned

Aug 10, 2022

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1578291464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13258 HARBOR SHORE LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874381",
            "telephone_number": "407-516-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13258 HARBOR SHORE LN",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874381",
            "telephone_number": "407-516-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CAMRYN ASHLEY",
        "middle_name": "JAVIER",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "W452101997100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Wielicki, MOT OTR/L
• Michael Wieloszynski, LPN
• Melissa D Wilkes
• Andrea Bowen Wilkinson, ED.S.
• Daphne T Williams-Hepburn, RBT
• Daejha Williams
• Danielle Eileen Williams, M.ED BCBA
• Diana Nicole Williams
• Juli Lynn Williams, PT
• Leah Williams, PHYSICIAN ASSISTANT

• Athletic Trainer in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.