Individual provider Active NPI

Patricia Agent

  • Homeopath
  • Fort Myers, FL
National Provider Identifier
1710309406
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomeopathTaxonomy code 175L00000X
Practice address
2656 Guava St
Fort Myers, FL 33916-2640
Phone
(239) 771-6192
NPI assigned
Jan 14, 2014
Last updated
Jan 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homeopath 175L00000X NU Primary

Addresses

Primary practice location

2656 Guava St
Fort Myers, FL 33916-2640

Mailing address

2656 Guava St
Fort Myers, FL 33916-2640
Phone (239) 771-6192

Other names 1

  • Mr. Tony L. Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1710309406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 GUAVA ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162640",
            "telephone_number": "239-771-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 GUAVA ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162640",
            "telephone_number": "239-771-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGENT",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "WILLIAMS",
            "middle_name": "L.",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.