Active NPI
Lori M Williams, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014408
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201105002505 | KY | Practitioner - Nurse Practitioner | 8527478304 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3014408 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Kentucky LLC | Family | Current | 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.
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1578891057
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.