Octavia Williams

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

18901 NW 17TH CT
Miami Gardens, FL 33056-3328

Phone

(305) 502-6371

NPI assigned

Mar 25, 2014

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

Practice roles

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.

• Above & Beyond Community Services, LLC

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1922655026
  NPD Authorized official

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1619394988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 NW 17TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563328",
            "telephone_number": "305-502-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 NW 17TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563328",
            "telephone_number": "305-502-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "OCTAVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce W Williams, RRT
• Keisha Williams
• Kendra Leshee Williams
• Krystle Williams
• Latravia Harbin Williams, LMFT
• Tiffany Williams, PHARMD.
• Van Williams
• Letyra Timae Wilson
• Robyn Wilson
• Tameka Wilson

• Case Manager/Care Coordinator in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.