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Sally Williams

Physician β€’ Leesburg, FL

Deactivated NPI 1346958345 Deactivated in NPPES Female Practitioner
Practice location in NPPES

908 Mccormack St
Leesburg, FL 347484250

Phone: 7863129030

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of April 04, 2023; the reason is not published. The records below are historical. They do not show whether Sally Williams currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date November 08, 2022
NPI Deactivation Date April 04, 2023
NPI Active Period 2022 – 2023

Practice Location & Contact Primary Location

Practice Address

908 Mccormack St

Leesburg, FL 347484250

Telephone 7863129030
Organization at the Same NPPES Address or Phone
Caring Hearts Of A Cna, Llc Facility NPI 1811690308

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Leesburg and Florida

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

License # reported to NPPES FL 238064

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated April 04, 2023

NPPES lists this NPI as deactivated as of April 04, 2023; the reason is not published.

βœ…
NPI Profile Active November 08, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 08, 2022

Registered at 908 MCCORMACK ST, LEESBURG, FL 347484250 (Tel: 7863129030)

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Business Mailing Address (Initial Record) November 08, 2022

Registered at 908 MCCORMACK ST, LEESBURG, FL 347484250 (Tel: 7863129030)

πŸ‘€
Provider Name / Credentials (Initial Record) November 08, 2022

Recorded as SALLY WILLIAMS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2022

Home Health (license number reported to NPPES: FL 238064)

🟒
Initial NPI Registration & Enumeration November 08, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1346958345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2022
Last Update: November 08, 2022
Deactivation Date: April 04, 2023

Mailing Address

908 Mccormack St

Leesburg, FL 347484250

Phone: 7863129030

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.