MR. DUSTIN WILLIAMS (NPI# 1033625991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033625991 |
| Entity Type | Individual |
| Full Name | MR. DUSTIN WILLIAMS |
| Credential | ARNP FNP |
| Practice Address |
7487 S State Road 121 Macclenny FL 32063-5451 |
| Mailing Address |
6514 Home Again Ln Macclenny FL 32063-5348 |
| Practice Telephone | 9042596211 |
| Mailing Telephone | 9042195280 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9237452 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144773011 | Dustin Grant Williams | Counselor | 4709 Archer Dr, Wilmington, NC 28409-6605 | 2016-07-27 |
| 1508302597 | Dustin Williams | Speech-Language Pathologist | 5640 Jefferson Hwy, Harahan, LA 70123-5111 | 2017-01-13 |
| 1316368210 | Dustin Rey Williams | Massage Therapist | 2615 W Casino Rd, 3h, Everett, WA 98204-2124 | 2013-12-18 |
| 1598029860 | Dustin G. Williams | Pediatrics | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2012-07-01 |
| 1922338342 | Dustin W Williams | Nurse Practitioner | 300 Utah St, Hiawatha, KS 66434 | 2010-01-07 |
| 1457686842 | Dustin James Williams | Chiropractor | 2001 S Barrington Ave Ste 101, Los Angeles, CA 90025-5337 | 2009-10-02 |
| 1740441682 | Dustin Blake Williams | Emergency Medicine | 5323 Harry Hines Blvd., Dallas, TX 75390-7208 | 2008-06-23 |
| 1356548952 | Dustin Williams | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2007-06-28 |
| 1033173281 | Dustin J Williams | Specialist/Technologist | 8227 Northwest Blvd Ste 160, Indianapolis, IN 46278-1386 | 2006-04-14 |
| Street Address |
7487 S STATE ROAD 121 |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-5451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538108410 | Muhammad Asghar Ali Shah | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2006-06-06 |
| 1073126140 | Felix Alexander Soleh | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5480 | 2020-08-28 |
| 1275152480 | Amy Michelle Harvey | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2020-04-09 |
| 1144605148 | Merredith Oakes | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2015-07-21 |
| 1578987764 | Amanda Nicole Simmons | Psychologist | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2014-02-10 |
| 1811242514 | Olga Ines Arias | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2012-07-18 |
| 1427358787 | Aron Croslin Bell | Counselor | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2010-11-02 |
| 1629227442 | Department of Children & Familes | Pharmacy | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-09-17 |
| 1538329719 | Toribio M Duhaylungsod | Psychiatry & Neurology | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-06-11 |
| 1417126699 | Lara Miriam Greenwald | Dentist | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
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| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.