MR. DEREK WILLIAMS (NPI# 1811315435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811315435 |
| Entity Type | Individual |
| Full Name | MR. DEREK WILLIAMS |
| Credential | LPN |
| Practice Address |
506 Sw Dexter Cir Apt 202 Lake City FL 32025-5675 |
| Mailing Address |
506 Sw Dexter Circle Apt 202 Lake FL 32025 |
| Practice Telephone | 3862929195 |
| Mailing Telephone | 3862929195 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN 5210449 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336349448 | Derek Edwin Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2821 E. President George Bush Turnpike, Suite 404, Richardson, TX 75082 | 2007-07-18 |
| 1922107085 | Derek Jrw Williams | Physician Assistant | 320 E 94th St Fl 2, Mount Sinai Adolescent Health Center, New York, NY 10128-5604 | 2006-09-22 |
| 1811907884 | Derek James Williams | Family Medicine | 204 Winslow Road, Clancy, MT 59634 | 2006-08-09 |
| 1760978605 | Derek Williams | Behavioral Analyst | 4001 Office Court Dr Ste 706, Santa Fe, NM 87507-4958 | 2018-07-03 |
| 1942793294 | Derek Williams | Optometrist | 501 Lapeer Ave, Saginaw, MI 48607-1203 | 2018-06-12 |
| 1588016554 | Derek Williams | Dentist | 701 S John Redditt Dr, Lufkin, TX 75904-3122 | 2016-07-01 |
| 1023489234 | Derek Franklin Williams | Counselor | 801 Douglas Ave, Suite 208, Altamonte Springs, FL 32714-5206 | 2015-10-14 |
| 1295135408 | Derek Williams | Counselor | 1695 Main St, Springfield, MA 01103-1348 | 2014-08-26 |
| 1073795134 | Derek Alan Williams | Technician, Other | 599 Tomales Rd, Hs 'a' School, Petaluma, CA 94952-5002 | 2007-11-30 |
| 1730301581 | Derek J Williams | Pediatrics | 2200 Childrens Way, 8232 Doctors' Office Tower, Nashville, TN 37232-0005 | 2007-05-02 |
| Street Address |
506 SW DEXTER CIR APT 202 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884605 | Brandy Nicole Little | Licensed Practical Nurse | 1028 Sw Paul Pearce Ln, Lake City, FL 32024-5490 | 2018-06-06 |
| 1861930752 | Crystal Ward | Licensed Practical Nurse | 394 Sw Finley Little Ln, Lake City, FL 32024-4857 | 2017-02-10 |
| 1942654215 | Leslie Mcgriff | Licensed Practical Nurse | 152 Nw Antelope Loop, Lake City, FL 32055-1138 | 2016-04-22 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1376939983 | Belinda Scott Hayter | Licensed Practical Nurse | 232 Nw Sugarcane Pl, Lake City, FL 32055-5465 | 2015-04-09 |
| 1811394083 | Kinshawda Rochester | Licensed Practical Nurse | 1520 Sw Ironwood Dr, Lake City, FL 32025-1319 | 2014-12-03 |
| 1215339866 | Erme Don Doyle IIi | Licensed Practical Nurse | 493 Sw Arredondo Pl, Lake City, FL 32025-5719 | 2014-09-25 |
| 1043612021 | Anna Duren | Licensed Practical Nurse | 4773 Se County Road 252, Lake City, FL 32025-2314 | 2014-09-22 |
| 1679974422 | Meko Stafford | Licensed Practical Nurse | 2790 Sw Windsong Cir, Apt 207, Lake City, FL 32025-1568 | 2014-09-11 |
| 1861821217 | Jessica Ryan Murrell Thomas | Licensed Practical Nurse | 654 Nw Ridgewood Ave, Lake City, FL 32055-3169 | 2013-11-06 |
| Find all providers in LAKE CITY | ||||
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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.