Active NPI
Lisa E Williams, CPS-MH, CDCA, CCTP
- Prevention Professional
- Toledo, OH
National Provider Identifier
1043822265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 282
- Practice address
- 1845 Fairfax Rd
Toledo, OH 43613-5211 - Phone
- (567) 377-0051
- NPI assigned
- Aug 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 282 | OH | Primary |
| Prevention Professional | 405300000X | CDCA169996 | OH |
Addresses
Primary practice location
1845 Fairfax Rd
Toledo, OH 43613-5211
Mailing address
1845 Fairfax Rd
Toledo, OH 43613-5211
Phone (567) 377-0051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282 | OH | MD | Prevention Professional |
| CDCA169996 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1043822265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 FAIRFAX RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436135211",
"telephone_number": "567-377-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 FAIRFAX RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436135211",
"telephone_number": "567-377-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LISA",
"middle_name": "E",
"credential": "CPS-MH, CDCA, CCTP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-19",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "282",
"primary": true
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "CDCA169996",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.