Active NPI
Chanin Williams
- Family Nurse Practitioner
- Riverview, FL
National Provider Identifier
1922626316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11008620
- Practice address
- 6901 Simmons Loop
Riverview, FL 33578-9498 - Phone
- (813) 302-8000
- NPI assigned
- Jul 11, 2020
- 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 Nurse Practitioner | 363LF0000X | 11008620 | FL | Primary |
Addresses
Primary practice location
6901 Simmons Loop
Riverview, FL 33578-9498
Mailing address
13401 Graham Yarden Dr
Riverview, FL 33579-2391
Phone (813) 810-4429
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Riverview, FL 33579
Phone (385) 327-2541
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11008620 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez Health Medical Group PA | Current | Accepting new patients | |
| Ez Health Medical Group West PC | Current | Accepting new patients |
Locations
303 Twin Dolphin Dr
Ste 600
Redwood City, CA 94065
Phone (740) 350-3565
Organizations & group practices 2
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": "1594425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598832000000",
"number": "1922626316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13401 GRAHAM YARDEN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335792391",
"telephone_number": "813-810-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 SIMMONS LOOP",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335789498",
"telephone_number": "813-302-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHANIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-11",
"last_updated": "2020-08-31",
"certification_date": "2020-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11008620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.