Individual provider Active NPI

Ashley Annette Williams, RDN/LDN

  • Registered Dietitian
  • Port St Lucie, FL
National Provider Identifier
1619517596
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND11099 Issued in FL
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

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
ND11099FLMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
HTS Nutrition Counseling Dietitian, Registered CurrentSince Dec 24, 2023 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.

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.

Verify at the official NPI Registry.