Individual provider Active NPI

Lindsey Ruth Williams, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Watertown, NY
National Provider Identifier
1043986524
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403515 Issued in NY
Practice address
830 Washington St
Watertown, NY 13601-4099
Phone
(315) 786-4000
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 672524 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403515 NY Primary

Addresses

Primary practice location

830 Washington St
Watertown, NY 13601-4099

Mailing address

16487 Martin Rd W
Watertown, NY 13601-5889
Phone (315) 783-8573

Other practice location 1

650 state st
watertown, NY 13601
Phone (315) 764-8076

Other practice location 2

1003 Park St
Ogdensburg, NY 13669-3911
Phone (315) 713-9090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwilliams1@shsny.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211221000142 NY Practitioner - Nurse Practitioner 2365833621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citizen Advocates, IncGroup PAC ID 0648241976, 50 clinicians
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

15 Francis St
Malone, NY 12953-1807
Phone (518) 483-1251

650 State St
Watertown, NY 13601-2839
Phone (315) 755-1251

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
672524NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Advocates, Inc CurrentSince Sep 1, 2023 Accepting new patients
Citizen Advocates, Inc PastSince Aug 14, 2022 Accepting new patients

Locations

31 6th St
Malone, NY 12953
Phone (518) 651-2254

15 Francis St
Malone, NY 12953
Phone (518) 483-7801

125 Finney Blvd
Malone, NY 12953
Phone (518) 481-8160

16 Phillips St
Massena, NY 13662
Phone (315) 764-8076

1003 Park St
Ogdensburg, NY 13669
Phone (315) 713-9090

650 State St
Watertown, NY 13601
Phone (315) 755-1251

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1043986524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16487 MARTIN RD W",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015889",
            "telephone_number": "315-783-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014099",
            "telephone_number": "315-786-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 state st",
            "address_purpose": "LOCATION",
            "city": "watertown",
            "state": "NY",
            "postal_code": "13601",
            "country_code": "US",
            "telephone_number": "315-764-8076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Park St",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136693911",
            "country_code": "US",
            "telephone_number": "315-713-9090",
            "fax_number": "315-713-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LINDSEY",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "672524",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwilliams1@shsny.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "830 Washington St",
            "city": "Watertown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136014099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.