Individual provider Active NPI

Claudette L Williams, ARNP

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1700851623
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1597292 Issued in FL
Practice address
116 Parsons Park Dr
Brandon, FL 33511-6066
Phone
(813) 681-5255
Fax
(813) 654-7457
NPI assigned
Feb 22, 2006
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1597292 FL Primary
Family Medicine Physician 207Q00000X 1597292 FL

Addresses

Primary practice location

116 Parsons Park Dr
Brandon, FL 33511-6066

Mailing address

116 Parsons Park Dr
Brandon, FL 33511-6066
Phone (813) 681-5255

Other practice location 1

9950 NW 19th Ave
Miami, FL 33147-1302
Phone (305) 691-4547

Other practice location 2

11420 N 56th St
Temple Terrace, FL 33617
Phone (813) 971-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130924000591 FL Practitioner - Nurse Practitioner 9032353545 Reassigns benefits to 1 organization
I20240312002713 TX Practitioner - Nurse Practitioner 9032353545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seminole Tribe of FloridaGroup PAC ID 4082710835, 8 clinicians

Practice addresses (Care Compare)

17201 Civic St NE
Okeechobee, FL 34974-2729
Phone (954) 962-2009

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1597292FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Tribe of Florida Health Dept. Multi-Specialty CurrentSince Feb 7, 2024 Accepting new patients
Florida Hospital Physician Group Inc Multi-Specialty CurrentSince Aug 8, 2018 Accepting new patients
Seminole Tribe of Florida CurrentSince Feb 7, 2024 Accepting new patients

Locations

116 Parsons Park Dr
Brandon, FL 33511
Phone (813) 681-6625

111 W Coral Way
Hollywood, FL 33021
Phone (954) 962-2009

17201 Civic St NE
Okeechobee, FL 34974
Phone (863) 763-0271

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

11420 N 56th St
Temple Terrace, FL 33617
Phone (813) 971-3136

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

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 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1700851623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PARSONS PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116066",
            "telephone_number": "813-681-5255",
            "fax_number": "813-654-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PARSONS PARK DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116066",
            "telephone_number": "813-681-5255",
            "fax_number": "813-654-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9950 NW 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331471302",
            "country_code": "US",
            "telephone_number": "305-691-4547",
            "fax_number": "305-693-5944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11420 N 56th St",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "33617",
            "country_code": "US",
            "telephone_number": "813-971-3136",
            "fax_number": "813-910-3459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLAUDETTE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1597292",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "1597292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.