Lisa M Tucker-Williams, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND9168 Issued in FL

Practice address

7070 Milton CT
Milton, FL 32583-5448

Phone

(850) 698-8706

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Lisa Williams Professional name

Medicare fee-for-service enrollment

Enrolled in FL, TX2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Poarch Band of Creek Indians

  dba Poarch Creek Indian Health Department

  • Federally Qualified Health Center (FQHC)
  • Atmore, AL
  • NPI 1902916489

  TX

  Medicare reassignment NPD
• Lisa Williams Rd LLC

  • Registered Dietitian
  • Milton, FL
  • NPI 1194345108
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1003478785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 MILTON CT",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325835448",
            "telephone_number": "850-698-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 MILTON CT",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325835448",
            "telephone_number": "850-698-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER-WILLIAMS",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "3011",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND9168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WILLIAMS",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chloe Rose Tober
• Hanniza Tolentino, RBT
• Sharon Torres, R.R.T.
• Melissa A Tremmel
• Scott Anthony Trezza, MD
• Ashlee Turner
• Helen Elizabeth Turner, DMD
• Jomiah Turner, RBT
• Morgan Darlene Turner, RBT
• Zachary Girard Tyler, RBT

• Registered Dietitian in Milton, FL
• Providers in Milton, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.