Williams Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILLIAMS FAMILY PRACTICE PLLC

Practice address

8696 Vineland Ave
Orlando, FL 32821-6400

Phone

(904) 600-7217

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline Jenkins, APRNNPI 1619562147

Title

Owner

Phone

(904) 600-7217

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Elizabeth Jenkins, APRN

  • Family Nurse Practitioner
  • Apopka, FL
  • NPI 1619562147
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1932887007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 WOODLARK DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447746",
            "telephone_number": "904-600-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8696 VINELAND AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216400",
            "telephone_number": "904-600-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-600-7217",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Williams Chiropractic Clinic, LLC
• Williams Giedd & Associates OD PA
• Williams Loving Care
• Roniece Anita Williams Weaver, MS, RD, LD
• Jennifer Williams-McDermed, O.D.
• Quanesha Williams-Mobley, PA-C

• Family Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.