Active NPI
Tiffany Ann Williamson, APRN, AGNP-C
- Adult Health Nurse Practitioner
- Coral Springs, FL
National Provider Identifier
1699328534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11003436
- Practice address
- 9500 NW 49TH CT
Coral Springs, FL 33076-2465 - Phone
- (954) 501-3861
- Fax
- (608) 305-8874
- NPI assigned
- Jul 19, 2019
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APRN11003436 | FL | Primary |
Addresses
Primary practice location
9500 NW 49TH CT
Coral Springs, FL 33076-2465
Mailing address
7050 W Palmetto Park Rd Ste 15-513
Boca Raton, FL 33433-3426
Phone (954) 501-3861
Other practice location 1
942 Scott Dr
West Palm Beach, FL 33415-3852
Phone (561) 328-3610
Other names 1
- Tiffany Dean Williamson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WPB | Other |
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9500 NW 49TH CT
Coral Springs, FL 33076-2465
Phone (954) 501-3861
Hospital & facility affiliations
- Elder'S Choice, Inc.
- All Health Care Services Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11003436 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPC Billing LLC | Current | Accepting new patients | |
| Concierge Primary Care LLC | Adult Health | Current | Accepting new patients |
| Jennmobilemed Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Gerontology Nurse Practitioner
- Boca Raton, FL
- NPI 1932701497
-
- Adult Health Nurse Practitioner
- Coral Springs, FL
- NPI 1760009138
-
- Adult Health Nurse Practitioner
- Stuart, FL
- NPI 1225484272
-
- Nurse Practitioner
- Boca Raton, FL
- NPI 1831799790
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lake Worth Beach, FL
- NPI 1487977526
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1538357728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1699328534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 W PALMETTO PARK RD STE 15-513",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333426",
"telephone_number": "954-501-3861",
"fax_number": "608-305-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 NW 49TH CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330762465",
"telephone_number": "954-501-3861",
"fax_number": "608-305-8874"
}
],
"practiceLocations": [
{
"address_1": "942 Scott Dr",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334153852",
"country_code": "US",
"telephone_number": "561-328-3610",
"fax_number": "844-861-3079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "TIFFANY",
"middle_name": "ANN",
"credential": "APRN, AGNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11003436",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WPB",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Deerfield",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Deerfield",
"address_1": "303 Deer Creek Lakeside Way",
"city": "Deerfield Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334428422",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "WILLIAMSON",
"middle_name": "DEAN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.