Active NPI
Latoyal Taneka Williams
- Prosthetics Case Management
- Jacksonville, FL
National Provider Identifier
1689183089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 2320 Edgewood Ave W
Jacksonville, FL 32209-2453 - Phone
- (904) 732-0122
- NPI assigned
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | FL | Primary |
Addresses
Primary practice location
2320 Edgewood Ave W
Jacksonville, FL 32209-2453
Mailing address
2320 Edgewood Ave W
Jacksonville, FL 32209-2453
Phone (904) 732-0122
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506556800000",
"number": "1689183089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 EDGEWOOD AVE W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322092453",
"telephone_number": "904-732-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 EDGEWOOD AVE W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322092453",
"telephone_number": "904-732-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LATOYAL",
"middle_name": "TANEKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2017-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.