Individual provider Active NPI

Kim Susan Williams, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1588043228
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3180052 Issued in FL
Practice address
5401 S Kirkman Rd Ste 310
Orlando, FL 32819-7937
Phone
(407) 759-3311
Fax
(407) 602-0894
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3180052 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3180052 FL

Addresses

Primary practice location

5401 S Kirkman Rd Ste 310
Orlando, FL 32819-7937

Mailing address

5401 S Kirkman Rd Ste 310
Orlando, FL 32819-7937
Phone (407) 759-3311

Other identifiers 2

IdentifierTypeStateIssuer
363LF0000XOtherFLMEDICAID AND MEDICARE
363LP0808XOtherFL363LP0808X

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151113000926 FL Practitioner - Nurse Practitioner 6406166818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP3180052FLMDFamily Nurse Practitioner
APRN3180052FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Feb 29, 2024 Accepting new patients
Green Health Services, LLC Family Current Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5401 S Kirkman Rd
Ste 310
Orlando, FL 32819
Phone (305) 895-0504

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1588043228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197937",
            "telephone_number": "407-759-3311",
            "fax_number": "407-602-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S KIRKMAN RD STE 310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197937",
            "telephone_number": "407-759-3311",
            "fax_number": "407-602-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIM",
        "middle_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3180052",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN3180052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID AND MEDICARE",
            "identifier": "363LF0000X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "363LP0808X",
            "identifier": "363LP0808X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.