Individual provider Active NPI

Nicole Quinae Williams, APRN

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1578849139
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025737 Issued in CA
Practice address
2425 Alhambra Blvd
Sacramento, CA 95817-1955
Phone
(916) 469-4690
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9170319 FL
Family Nurse Practitioner 363LF0000X AP61570800 WA
Nurse Practitioner 363L00000X 95025737 CA Primary

Addresses

Primary practice location

2425 Alhambra Blvd
Sacramento, CA 95817-1955

Mailing address

PO Box 639295 Dept 93303
Cincinnati, OH 45263-9295
Phone (484) 346-1692

Other practice location 1

4051 Upper Creek Dr Ste 112
Sun City Center, FL 33573-6825
Phone (813) 681-5658

Other practice location 2

500 Vonderburg Dr Ste 102E
Brandon, FL 33511
Phone (813) 681-5658

Other practice location 3

8600 Hidden River Pkwy Ste 75
Tampa, FL 33637-1113
Phone (813) 517-0137

Other practice location 4

3030 Limited Ln NW
Olympia, WA 98502-2704
Phone (360) 491-1399

Other identifiers 2

IdentifierTypeStateIssuer
Y09A7OtherFLBLUE CROSS BLUE SHIELD
004239500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 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
I20111213000539 FL Practitioner - Nurse Practitioner 3173798527 Reassigns benefits to 3 organizations
I20250221000235 WA Practitioner - Nurse Practitioner 3173798527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sage Infusion, LLCGroup PAC ID 1254660467, 44 clinicians
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians
Top Physicians Group IncGroup PAC ID 0244497154, 2 clinicians

Practice addresses (Care Compare)

2055 Wood St
Suite 202
Sarasota, FL 34237-7929
Phone (941) 413-3280

3030 Limited LN NW
Olympia, WA 98502-2704
Phone (360) 491-1399

8751 N 30TH St
Tampa, FL 33604-2213
Phone (813) 980-2422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025737CAMDNurse Practitioner
AP61570800WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Jan 28, 2025 Accepting new patients
Sea Mar Community Health Centers Nurse Practitioner Current Accepting new patients
Top Physicians Group, Inc CurrentSince Aug 1, 2025 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jan 28, 2025 Accepting new patients
Sage Infusion, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ascend Health Companions Current Accepting new patients
Team Radiology Physicians, PA PastSince Aug 1, 2019 Accepting new patients
University Medical Service Association Inc Past Accepting new patients
Mac Wound Solutions LLC PastSince Sep 17, 2023 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

8880 Gladiolus Dr
Ste C200
Fort Myers, FL 33908
Phone (239) 533-5962

1090 NW 8th Ave
Ste 30
Gainesville, FL 32601
Phone (352) 450-8886

2055 Wood St
Ste 202
Sarasota, FL 34237
Phone (941) 365-0655

8751 N 30th St
Tampa, FL 33604
Phone (813) 980-2422

4728 N Habana Ave
Ste 101B
Tampa, FL 33614
Phone (813) 775-9997

910 Old Camp Rd
Ste 196
The Villages, FL 32162
Phone (352) 565-5553

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

Organizations & group practices 11

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": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1578849139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93303",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "484-346-1692",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 ALHAMBRA BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171955",
            "telephone_number": "916-469-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4051 Upper Creek Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736825",
            "country_code": "US",
            "telephone_number": "813-681-5658",
            "fax_number": "813-681-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Vonderburg Dr Ste 102E",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "33511",
            "country_code": "US",
            "telephone_number": "813-681-5658",
            "fax_number": "813-681-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 Hidden River Pkwy Ste 75",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336371113",
            "country_code": "US",
            "telephone_number": "813-517-0137",
            "fax_number": "877-396-5962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Limited Ln NW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985022704",
            "country_code": "US",
            "telephone_number": "360-491-1399",
            "fax_number": "360-704-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "middle_name": "QUINAE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9170319",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61570800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y09A7",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004239500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.