Andrekia Williams-Montgomery, MA, PBT

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

828224 Issued in FL

Practice address

1471 NW 22ND CT Apt 1
Fort Lauderdale, FL 33311-3545

Phone

(954) 709-9849

Fax

(702) 554-5096

NPI assigned

Aug 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Soft Touch Mobile Lab Services

  • Clinical Medical Laboratory
  • Fort Lauderdale, FL
  • NPI 1811347891
  NPD (past) Authorized official

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1982159703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 NW 22ND CT APT 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333113545",
            "telephone_number": "954-709-9849",
            "fax_number": "702-554-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 NW 22ND CT APT 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333113545",
            "telephone_number": "954-709-9849",
            "fax_number": "702-554-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-MONTGOMERY",
        "first_name": "ANDREKIA",
        "credential": "MA, PBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "828224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Will Richardson MD PA
• William T. Joyner, M.D., P.a.
• Jamila Williams Jenkins
• Imani Ariel Williams-Ephriam, MSW LCSW QS
• Mala Tanya-Sue Williams-Lawrence, LCSW, MSW
• Andrea Williams, LMHC, CAP
• Angela Y Williams
• Brenda Marie Williams
• Brian A. Williams, PHARM D.
• Cassie Williams

• Clinical Medical Laboratory in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.