MRS. CHANTAIL CHAVON WILLIAMS (NPI# 1396215406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396215406 |
| Entity Type | Individual |
| Full Name | MRS. CHANTAIL CHAVON WILLIAMS |
| Practice Address |
5474 Williams Rd Ste 1b Tampa FL 33610-9345 |
| Mailing Address |
3912 King Dr Brandon FL 33511-7810 |
| Practice Telephone | 8137843026 |
| Mailing Telephone | 8137843026 |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2018-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CL1268192 | FL | Other Service Providers |
| Street Address |
5474 WILLIAMS RD STE 1B |
| City | TAMPA |
| State | FL |
| Zip Code | 33610-9345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526892 | Tavia Sevon Richards | Specialist | 12414 Touchton Dr Apt 95, Tampa, FL 33617-1544 | 2020-01-06 |
| 1265990865 | Ashley Simone Kitchens | Specialist | 1418 E Busch Blvd, Tampa, FL 33612-8656 | 2019-03-04 |
| 1689167710 | Tera Stewart | Specialist | 8022 N 56th St, Tampa, FL 33617-7600 | 2018-06-13 |
| 1962905182 | Fabulously Made Salon, LLC | Specialist | 8913 Regents Park Dr Ste 620, Tampa, FL 33647-3077 | 2018-03-14 |
| 1306345566 | Donette Kerr | Specialist | 1910 E 7th Ave, Tampa, FL 33605-3810 | 2018-02-02 |
| 1609375856 | Ybor City Elite Salon | Specialist | 1910 E 7th Ave Ste 102, Tampa, FL 33605-3810 | 2018-02-02 |
| 1154829711 | Johanna Y Amarante | Specialist | 20707 Center Oak Dr Ste 304, Tampa, FL 33647-3551 | 2018-01-30 |
| 1972016368 | Pepe C Mcneal | Specialist | 15241 North Dalemabry Ave, Sola Salons (studio #14, Tampa, FL 33618 | 2017-11-08 |
| 1851815302 | Adriana Jenkins | Specialist | 7402 N 56th St Ste 909, Tampa, FL 33617-7733 | 2017-07-26 |
| 1639627755 | Guilaine Destrat | Specialist | 1313 E Fletcher Ave, Tampa, FL 33612-3629 | 2016-09-19 |
| Find all providers in TAMPA | ||||
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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.