GARY WILLIAMS (NPI# 1770761504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770761504 |
Entity Type | Individual |
Full Name | GARY WILLIAMS |
Other Name | GARY WILLIAMS |
Practice Address |
209 Ne Diana Ter Lake City FL 32055-4633 |
Practice Telephone | 3862699747 |
Mailing Telephone | 3862699747 |
Enumeration Date | 2008-02-04 |
Last Update Date | 2018-03-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4075 | FL | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH9794 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6104551 | 05 | |
FL | 012987400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114269008 | Gary M Williams | Pathology | 8 Elm Rd, Scarsdale, NY 10583-1410 | 2013-03-19 |
1598059388 | Gary Williams | Durable Medical Equipment & Medical Supplies | 208 Brittney Ln, Hinesville, GA 31313-5724 | 2011-06-08 |
1477679595 | Gary Alan Williams | Counselor | 1034 23rd St S, Suite 102, Birmingham, AL 35205-2481 | 2007-03-21 |
1962532663 | Gary J Williams | Family Medicine | Route 28, Hyannis, MA 02601 | 2007-03-06 |
1598827412 | Gary Vincent Williams Jr. | Dentist | 8538 E Cactus Wren Cir, Scottsdale, AZ 85262-1334 | 2006-12-15 |
1447323316 | Gary Adair Williams | Psychologist | 502 Johnstown Rd, Beckley, WV 25801 | 2006-11-16 |
1033211263 | Gary O Williams | Optometrist | 5353 Soutel Dr, Ste B, Jacksonville, FL 32219-3492 | 2006-09-01 |
1760591440 | Gary Richard Williams | Dentist | 16125 Cairnway, Suite 102, Houston, TX 77084 | 2006-08-29 |
1346296043 | Gary Lester Williams | Optometrist | 1124 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2006-05-25 |
1972572220 | Gary Williams | Dentist | 225 S Robinson Ave, Pen Argyl, PA 18072-1946 | 2006-03-17 |
Street Address |
209 NE DIANA TER |
City | LAKE CITY |
State | FL |
Zip Code | 32055-4633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
Find all providers in zip 32055 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992303846 | Colette L Bone | Counselor | 919 Godfrey Rd, Lake City, PA 16423-2110 | 2020-10-13 |
1487203956 | Amber Renee Granger Baughman | Counselor | 691 Nw Jean Ct, Lake City, FL 32055-7062 | 2019-09-08 |
1649730219 | Ricketta Tiara Arline | Counselor | 260 S Marion Ave Ste 105, Lake City, FL 32025-7034 | 2019-03-21 |
1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
1861886277 | Resolutions Health Alliance, P | Counselor | 1344 Se Baya Dr, Lake City, FL 32025-4888 | 2015-03-24 |
1881012292 | Rachel Christian Parker | Counselor | 3546 Sw State Road 247, Lake City, FL 32024-0785 | 2014-04-02 |
1801213871 | Gina Stork | Counselor | 3662 Garber Ave, Lake City, IA 51449-7554 | 2014-03-27 |
1578990784 | North Florida Center for Counseling, LLC | Counselor | 260 South Marion Avenue Suite 140, Lake City, FL 32025 | 2013-10-02 |
1184924649 | Stephanie Dayle Douglas | Counselor | 197 Sw Sarah Ct, Lake City, FL 32024-3852 | 2010-10-29 |
1326278433 | Lydia Dryer Marohn | Counselor | 356 S Marion Ave, Lake City, FL 32025-5261 | 2009-07-23 |
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.