Active NPI
Ashley Annette Williams, RDN/LDN
- Registered Dietitian
- Port St Lucie, FL
National Provider Identifier
1619517596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND11099
- Practice address
- 3280 SE Monte Vista St
Port St Lucie, FL 34952-6113 - Phone
- (719) 619-6687
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND11099 | FL | |
| Nutrition Education Nutritionist | 133NN1002X | ND11099 | FL | |
| Registered Dietitian | 133V00000X | ND11099 | FL | Primary |
Addresses
Primary practice location
3280 SE Monte Vista St
Port St Lucie, FL 34952-6113
Mailing address
3280 SE Monte Vista St
Port St Lucie, FL 34952-6113
Phone (719) 619-6687
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://secure.gethealthie.com/go/healthysoul | Health Information Exchange (HIE) | HTS Nutrition Counseling |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND11099 | FL | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HTS Nutrition Counseling | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- Port St Lucie, FL
- NPI 1982472817
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1619517596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 SE MONTE VISTA ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349526113",
"telephone_number": "719-619-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 SE MONTE VISTA ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349526113",
"telephone_number": "719-619-6687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ASHLEY",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "RDN/LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND11099",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "FL",
"license": "ND11099",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND11099",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://secure.gethealthie.com/go/healthysoul",
"affiliation": "Y",
"endpointDescription": "Client Portal",
"affiliationName": "HTS Nutrition Counseling",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Client Portal",
"address_1": "3280 SE Monte Vista St",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "349526113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.