Individual provider Active NPI

Krystle Nicole Gale Williams, ARNP

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1689123192
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9310611 Issued in FL
Practice address
685 Palm Springs Dr Ste 2a
Altamonte Springs, FL 32701-7853
Phone
(407) 830-5577
Fax
(407) 830-4164
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9310611 FL Primary

Addresses

Primary practice location

685 Palm Springs Dr Ste 2a
Altamonte Springs, FL 32701-7853

Mailing address

477 Jeffrey James Way
Apopka, FL 32712-3375
Phone (407) 780-0093

Other practice location 1

2831 Maguire Rd
Windermere, FL 34786-6057
Phone (407) 654-0568

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
I20161027002027 FL Practitioner - Nurse Practitioner 3678851581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMV DiagnosticsGroup PAC ID 8123172020, 21 clinicians

Practice addresses (Care Compare)

5304 Mile Stretch Dr
Holiday, FL 34690-6060
Phone (877) 202-1191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9310611FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medical Visits, Inc Family CurrentSince Jan 27, 2026 Accepting new patients
Orlando Immunology Center PA CurrentSince Jan 1, 2020 Accepting new patients

Locations

685 Palm Springs Dr
Ste 2A
Altamonte Springs, FL 32701
Phone (407) 830-5577

2435 US Highway 19
Ste 300
Holiday, FL 34691
Phone (727) 940-5908

5304 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 940-5908

1707 N Mills Ave
Orlando, FL 32803
Phone (407) 647-3960

Organizations & group practices 3

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1689123192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 JEFFREY JAMES WAY",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123375",
            "telephone_number": "407-780-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PALM SPRINGS DR STE 2A",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017853",
            "telephone_number": "407-830-5577",
            "fax_number": "407-830-4164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 Maguire Rd",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347866057",
            "country_code": "US",
            "telephone_number": "407-654-0568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRYSTLE",
        "middle_name": "NICOLE GALE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9310611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.