Individual provider Active NPI

Deniese Williams, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1679991624
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN2886402 Issued in FL
Practice address
7333 Scotland Way Ofc
Sarasota, FL 34238-8556
Phone
(941) 552-5355
Fax
(941) 552-5309
NPI assigned
Apr 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 2886402 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN2886402 FL Primary
Gerontology Nurse Practitioner 363LG0600X ARNP 2886402 FL

Addresses

Primary practice location

7333 Scotland Way Ofc
Sarasota, FL 34238-8556

Mailing address

7333 Scotland Way Ofc
Sarasota, FL 34238-8556
Phone (941) 552-5355

Other names 1

  • Deniese Woodburn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141125001149 FL Practitioner - Nurse Practitioner 2668624867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Converse Psychiatry LLCGroup PAC ID 2769914530, 3 clinicians
Living Well Clinic LLCGroup PAC ID 5799108767, 3 clinicians

Practice addresses (Care Compare)

4931 Camelot St
North Port, FL 34288-3321
Phone (941) 310-1300

7333 Scotland Way
Sarasota, FL 34238-8530
Phone (941) 552-5262

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 2886402FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Living Well Clinic LLC CurrentSince Nov 1, 2019 Accepting new patients
Converse Psychiatry LLC Psychiatric/Mental Health CurrentSince Jul 30, 2024 Accepting new patients

Locations

7333 Scotland Way
Ofc
Sarasota, FL 34238
Phone (941) 552-5355

7333 Scotland Way
Sarasota, FL 34238
Phone (941) 552-5262

Interoperability endpoints

  • Direct secure messaging: deniesewilliams@tgopri-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1679991624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 SCOTLAND WAY OFC",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342388556",
            "telephone_number": "941-552-5355",
            "fax_number": "941-552-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 SCOTLAND WAY OFC",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342388556",
            "telephone_number": "941-552-5355",
            "fax_number": "941-552-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DENIESE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 2886402",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN2886402",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP 2886402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENIESE",
            "last_name": "WOODBURN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.