Katrillany Williams

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB442515 Issued in FL

Practice address

3202 Dew Berry Ave
Apopka, FL 32712-5809

Phone

(407) 280-8680

NPI assigned

Jul 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563062400000",
    "number": "1699327239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 DEW BERRY AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125809",
            "telephone_number": "407-280-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 DEW BERRY AVE",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125809",
            "telephone_number": "407-280-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATRILLANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2019-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB442515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022977000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tharrell.gytwno@secure25.net",
            "affiliation": "N",
            "endpointDescription": "secure encrypted link",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3202 Dew Berry Ave",
            "city": "Apopka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327125809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ana Williams, APRN
• Anton Richard Williams Jr.
• Hope Williams
• Jamie Williams, ARNP, FNP-C
• Jerrelle D Williams, MSW
• Trevaughn J Williams
• Marci Goldberg Williamson, PT
• Sharta Willis, LCSW
• Jeannie Wilmot
• Erica Wilson, FNP-C

• Behavior Technician in Apopka, FL
• Providers in Apopka, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2019; 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.