Individual provider Active NPI

Waveney Gittens-Williams, CEO/ADMINISTRATOR

  • Adult Companion
  • Tampa, FL
National Provider Identifier
1891219119
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
License
234950 Issued in FL
Practice address
3706 W. Idle Wild Cir #203
Tampa, FL 33614
Phone
(813) 446-0162
Fax
(813) 348-2993
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X FL
Homemaker 376J00000X 234950 FL
Adult Companion 372600000X 234950 FL Primary

Addresses

Primary practice location

3706 W. Idle Wild Cir #203
Tampa, FL 33614

Mailing address

3706 W Idlewild Cir Apt 203
Tampa, FL 33614-5754
Phone (813) 446-0162

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
234950FLMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
FL Falcon Home Care LLC Alzheimer Center (Dementia Center) PastSince Jul 24, 2022 Accepting new patients

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": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891219119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 W IDLEWILD CIR APT 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145754",
            "telephone_number": "813-446-0162",
            "fax_number": "813-348-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 W. IDLE WILD CIR #203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33614",
            "telephone_number": "813-446-0162",
            "fax_number": "813-348-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTENS-WILLIAMS",
        "first_name": "WAVENEY",
        "credential": "CEO/ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "FL",
            "license": "234950",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "234950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.