Individual provider Active NPI

Lori M Williams, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1043830102
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014408 Issued in KY
Practice address
5807 Hasbrook Dr
Louisville, KY 40229-2984
Phone
(502) 709-0590
NPI assigned
Apr 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3014408 KY Primary

Addresses

Primary practice location

5807 Hasbrook Dr
Louisville, KY 40229-2984

Mailing address

5807 Hasbrook Dr
Louisville, KY 40229-2984
Phone (502) 709-0590

Other practice location 1

535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone (859) 439-0400

Other practice location 2

881 Corporate Dr Ste 110
Lexington, KY 40503-2748
Phone (859) 493-2812

Other practice location 3

10490 Shelbyville Rd
Louisville, KY 40223-3120
Phone (502) 245-8853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201105002505 KY Practitioner - Nurse Practitioner 8527478304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014408KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kentucky LLC Family CurrentSince Sep 1, 2020 Accepting new patients

Locations

10490 Shelbyville Rd
Louisville, KY 40223
Phone 5022458853 ext. 8221

2311 Lime Kiln Ln
Louisville, KY 40222
Phone (502) 291-0749

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1043830102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 HASBROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292984",
            "telephone_number": "502-709-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 HASBROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402292984",
            "telephone_number": "502-709-0590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Wellington Way Ste 330",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405031331",
            "country_code": "US",
            "telephone_number": "859-439-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "881 Corporate Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032748",
            "country_code": "US",
            "telephone_number": "859-493-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10490 Shelbyville Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402233120",
            "country_code": "US",
            "telephone_number": "502-245-8853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LORI",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-19",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.