Active NPI
Carolyn R. Williams
- Registered Dietitian
- Xenia, OH
National Provider Identifier
1073456232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD.6576
- Practice address
- 2953 Ambrosia LN W
Xenia, OH 45385-2794 - Phone
- (502) 614-0636
- NPI assigned
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 121320 | KY | |
| Registered Dietitian | 133V00000X | LD.6576 | OH | Primary |
Addresses
Primary practice location
2953 Ambrosia LN W
Xenia, OH 45385-2794
Mailing address
2953 Ambrosia LN W
Xenia, OH 45385-2794
Phone (502) 614-0636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2953 Ambrosia LN W
Zenia, OH 45385-2577
4359 E Enon Rd
Yellow Springs, OH 45387-9708
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121320 | KY | MD | Registered Dietitian |
| LD.6576 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1073456232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2953 AMBROSIA LN W",
"city": "XENIA",
"state": "OH",
"postal_code": "453852794",
"telephone_number": "502-614-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2953 AMBROSIA LN W",
"city": "XENIA",
"state": "OH",
"postal_code": "453852794",
"telephone_number": "502-614-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CAROLYN",
"middle_name": "R.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "121320",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "LD.6576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.