Active NPI
Nancy Jaime-Williams, M.D.
- Family Medicine Physician
- Lutz, FL
National Provider Identifier
1871565960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME86822
- Practice address
- 4211 Van Dyke Rd
Suite 101B
Lutz, FL 33558-8005 - Phone
- (813) 960-4026
- Fax
- (813) 960-4489
- NPI assigned
- Feb 3, 2006
- Last updated
- Mar 2, 2016
- 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 Medicine Physician | 207Q00000X | ME86822 | FL | Primary |
Addresses
Primary practice location
4211 Van Dyke Rd
Suite 101B
Lutz, FL 33558-8005
Mailing address
PO Box 743409
Atlanta, GA 30374-3409
Phone (727) 532-0002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266806800 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86822 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph's Community Care Inc | Family Medicine | Past | Accepting new patients |
| Doctors R US Walk-in Clinic, Inc. | Past | Accepting new patients | |
| Baycare Medical Group Pediatric Walk-in, LLC | Family Medicine | Past | Accepting new patients |
| Baycare Medical Group Pediatric Walk-in Care LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Lutz, FL
- NPI 1861850117
-
- Pediatrics Physician
- Tampa, FL
- NPI 1679724488
Family Medicine
-
dba Doctors R US Walk-in Clinic
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1427197250
-
- Family Medicine Physician
- Tampa, FL
- NPI 1003946591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1871565960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743409",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743409",
"telephone_number": "727-532-0002",
"fax_number": "727-532-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 VAN DYKE RD",
"address_2": "SUITE 101B",
"city": "LUTZ",
"state": "FL",
"postal_code": "335588005",
"telephone_number": "813-960-4026",
"fax_number": "813-960-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIME-WILLIAMS",
"first_name": "NANCY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME86822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266806800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.