Active NPI
Waveney Gittens-Williams, CEO/ADMINISTRATOR
- Adult Companion
- Tampa, FL
National Provider Identifier
1891219119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 234950
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 234950 | FL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL Falcon Home Care LLC | Alzheimer Center (Dementia Center) | Past | 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.