Active NPI
Wilma Joy Williams-Blake, ARNP
- Family Nurse Practitioner
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9165385
- Practice address
- 700 N Hiatus Rd
Pembroke Pines, FL 33026-5206 - Phone
- (954) 392-9026
- NPI assigned
- Nov 6, 2012
- Last updated
- Nov 6, 2012
- 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 | 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
Enrollment records 1
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
Practice addresses (Care Compare)
16800 NW 2ND Ave
Suite 306a
North Miami Beach, FL 33169-5508
Phone (754) 255-1500
Hospital & facility affiliations
- All Health Care Services Inc
- The Palace at Home
- Compassionate Caring Home Care, Inc
- Trilogy Home Healthcare
- Health Care of South Florida Corp
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9165385 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zenacare Corp | Current | Accepting new patients | |
| Integrated Medical Direction | Past | 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.
-
- Specialist
- Village of Golf, FL
- NPI 1932518081
-
- Internal Medicine Physician
- Village of Golf, FL
- NPI 1497825244
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hollywood, FL
- NPI 1225770084
-
- Home Health Agency
- Hallandale Beach, FL
- NPI 1033355672
-
- Home Health Agency
- North Miami Beach, FL
- NPI 1467465542
-
- Home Health Agency
- Pembroke Pines, FL
- NPI 1699079996
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
- Carole L Wilkinson, ARNP, MHPNP
- William a. Pena DMD, PA (American Pediatric Dental Group)
- William H Myones DMD PA (Periodontics and Oral Implantology Center of South Florida)
- William Pena MD LLC
- William R Alexis MD PA (Florida Cardiovascular Associates)
- Aaron Elijah Williams
- Ailiyah Williams
- Breyanna Williams
- Carol Williams, LCSW
- Cheryl-Ann Nattiline Williams, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.