Teresa E Williams

Primary specialty

HomemakerTaxonomy code 376J00000X

License

239653 Issued in FL

Practice address

12121 Fern Haven Ave
Gibsonton, FL 33534-5665

Phone

(813) 606-0440

Fax

(813) 374-7859

NPI assigned

Sep 21, 2023

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 names 1

• Teresa E Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1659150449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 FERN HAVEN AVE",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335345665",
            "telephone_number": "813-606-0440",
            "fax_number": "813-374-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 FERN HAVEN AVE",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335345665",
            "telephone_number": "813-606-0440",
            "fax_number": "813-374-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERESA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "239653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "WILLIAMS",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Homemaker in Gibsonton, FL
• Providers in Gibsonton, FL by specialty
• Homemaker in Florida

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