Individual provider Active NPI

Rebecca Anne Williams, DOM, AP

  • Acupuncturist
  • Palmetto, FL
National Provider Identifier
1740748433
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP4027 Issued in FL
Practice address
1301 10TH St E Ste D
Palmetto, FL 34221-4161
Phone
(941) 417-3848
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP4027 FL Primary

Addresses

Primary practice location

1301 10TH St E Ste D
Palmetto, FL 34221-4161

Mailing address

823 15TH Avenue Dr E
Palmetto, FL 34221-4192
Phone (321) 412-3224

Other practice location 1

11131 Winthrop Market St
Riverview, FL 33578-4252
Phone (941) 417-3848

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

State licenses

LicenseStateTypeSpecialty
AP4027FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Acupuncture & Integrative Wellness CurrentSince Aug 25, 2019 Accepting new patients

Locations

1301 10th St E
Ste D
Palmetto, FL 34221
Phone (941) 417-3848

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1740748433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 15TH AVENUE DR E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214192",
            "telephone_number": "321-412-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 10TH ST E STE D",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214161",
            "telephone_number": "941-417-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11131 Winthrop Market St",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335784252",
            "country_code": "US",
            "telephone_number": "941-417-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "DOM, AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.