Shelly Williams, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3232P Issued in KY

Practice address

2550 Leestown Road
Lexington, KY 40511

Phone

(859) 233-4511

Fax

(589) 281-3880

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1275583064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 LEESTOWN ROAD",
            "address_2": "ADMINSTRATION MEDICINE-LD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111150",
            "telephone_number": "859-233-4511",
            "fax_number": "859-281-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 LEESTOWN ROAD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40511",
            "telephone_number": "859-233-4511",
            "fax_number": "589-281-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHELLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1070799",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3232P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78005121",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Christopher Williams, LCSW
• Robert A Williams, BA
• Sandra S Williams, LCSW
• Sarah Guerry Williams, MD
• Sarah Jennifer Williams, MS, ATC
• Tamara C Williams, RPH
• Thea J Williams, LCSW
• Thomas H. Williams, D.C.
• Tiffany Williams
• Trish Williams

• Nurse Practitioner in Lexington, KY
• Providers in Lexington, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.