Active NPI
Krystle Nicole Gale Williams, ARNP
- Family Nurse Practitioner
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9310611
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9310611 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Medical Visits, Inc | Family | Current | Accepting new patients |
| Orlando Immunology Center PA | Current | 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.
-
- Clinic/Center
- Holiday, FL
- NPI 1043460744
-
- Infectious Disease Physician
- Orlando, FL
- NPI 1467003772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.