Nicole Lee Williams, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

871698 Issued in AZ

Practice address

302 El Camino Real Ste a
Sierra Vista, AZ 85635-2860

Phone

(520) 255-5475

Fax

(855) 801-7998

NPI assigned

Aug 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Lee Ehrhart Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeffrey Wilde MD PLLCGroup PAC ID 6901138049, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• TX HMO
• TX HMO D-SNP
• NM HMO C-SNP

Interoperability endpoints

• Direct secure messaging: nicole.williams.1@20478.direct.athenahealth.com

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

• Jeffrey Wilde MD PLLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1518515683

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1013498328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-255-5475",
            "fax_number": "855-801-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352860",
            "telephone_number": "520-255-5475",
            "fax_number": "855-801-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Camino Rancho",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856355064",
            "country_code": "US",
            "telephone_number": "520-591-6048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "871698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "EHRHART",
            "middle_name": "LEE",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Virgil Wilde, M.D.
• Todd Wilde, DPT
• Ineke Wilkin, RD
• Nicole Marie Willey
• Amy Williams, M. ED
• Sundi Lynne Williams, M.A., CCC-SLP
• Carinna Wilmot, PMHNP-BC
• McKayla Wilson, SLPA
• Rafael Wilson
• Kirsten Elizabeth Wister, FNP-BC, ACNP-BC

• Registered Dietitian in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.