Bonita S Williams, MNT

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND4886 Issued in FL

Practice address

430 Pinellas St Ste 400
Clearwater, FL 33756-3365

Phone

(727) 461-8300

Fax

(813) 635-2187

NPI assigned

Sep 3, 2008

Last updated

Jan 22, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1609024629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-532-1355",
            "fax_number": "813-635-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PINELLAS ST STE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563365",
            "telephone_number": "727-461-8300",
            "fax_number": "813-635-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BONITA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MNT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDER NUMBER",
            "identifier": "P00726956",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Strupp Jr DDS PA
• Alexander Williams, M.D.
• Alicen Charis Williams, PTA
• Allen L Williams, DMD
• Apollo Townsend Williams, RN, MSN
• Carlita Williams
• Catherine Nasrin Williams, M.D.
• Chernique Williams
• Cynthia Rena' Williams, PHYSICAL THERAPIST
• Elaine A Williams, FNP/APRN

• Registered Dietitian in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.