Individual provider Active NPI

Wilma Joy Williams-Blake, ARNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1700130234
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9165385 Issued in FL
Practice address
700 N Hiatus Rd
Pembroke Pines, FL 33026-5206
Phone
(954) 392-9026
NPI assigned
Nov 6, 2012
Last updated
Nov 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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 ARNP 9165385 FL Primary

Addresses

Primary practice location

700 N Hiatus Rd
Pembroke Pines, FL 33026-5206

Mailing address

4936 SW 166TH Ave
Miramar, FL 33027-4904
Phone (954) 696-4405

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
I20150526000414 FL Practitioner - Nurse Practitioner 1052631561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zenacare CorpGroup PAC ID 6406298405, 3 clinicians

Practice addresses (Care Compare)

16800 NW 2ND Ave
Suite 306a
North Miami Beach, FL 33169-5508
Phone (754) 255-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9165385FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zenacare Corp CurrentSince Apr 3, 2025 Accepting new patients
Integrated Medical Direction PastSince Jul 1, 2009 Accepting new patients

Locations

16800 NW 2nd Ave
Ste 306A
North Miami Beach, FL 33169
Phone (754) 255-1500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1700130234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 SW 166TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274904",
            "telephone_number": "954-696-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265206",
            "telephone_number": "954-392-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-BLAKE",
        "first_name": "WILMA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9165385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.