Individual provider Active NPI

Kheyanne Rashad Williams

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1821825241
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035439 Issued in FL
Practice address
13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone
(813) 661-6199
Fax
(813) 661-6334
NPI assigned
Sep 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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 APRN11035439 FL Primary

Addresses

Primary practice location

13127 Vail Ridge Dr
Riverview, FL 33579-7196

Mailing address

1501 Alhambra Crest Dr
Ruskin, FL 33570-7915
Phone (941) 268-1505

Other practice location 1

6266 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425
Phone (941) 268-1505

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
I20250320003237 FL Practitioner - Nurse Practitioner 3476075219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Cardiovascular Associates IncGroup PAC ID 5092874909, 17 clinicians

Practice addresses (Care Compare)

13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11035439FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Family Wellness LLC CurrentSince Jan 13, 2025 Accepting new patients
Rmed LLC CurrentSince Mar 1, 2025 Accepting new patients
South Shore Cardiovascular Associates Inc CurrentSince Jul 1, 2025 Accepting new patients
Rmed LLC CurrentSince Mar 1, 2025 Accepting new patients
Sunshine Rheumatology and Arthritis Center LLC PastSince Jan 1, 2025 Accepting new patients
Sage Infusion, LLC PastSince Jul 18, 2022 Accepting new patients

Locations

608 Medical Care Dr
Brandon, FL 33511
Phone (813) 684-2506

425 S Kings Ave
Brandon, FL 33511
Phone (813) 661-6199

1159 Nikki View Dr
Brandon, FL 33511
Phone (813) 661-6199

6266 Lake Osprey Dr
Lakewood Ranch, FL 34240
Phone (941) 234-6388

13127 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 661-6199

4051 Upper Creek Dr
Ste 110
Sun City Center, FL 33573
Phone (813) 633-2504

14525 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 972-0669

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

14525 Bruce B Downs Blvd
#5
Tampa, FL 33613
Phone (813) 661-6199

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1821825241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ALHAMBRA CREST DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335707915",
            "telephone_number": "941-268-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6266 Lake Osprey Dr",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342408425",
            "country_code": "US",
            "telephone_number": "941-268-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KHEYANNE",
        "middle_name": "RASHAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.