NPIMap

Individual provider Active NPI

Tanisha Monique Williams, FNP-C

  • Family Nurse Practitioner
  • Leitchfield, KY
National Provider Identifier
1285045682
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008658 Issued in KY
Practice address
910 Wallace Ave
Leitchfield, KY 42754-2414
Phone
(270) 259-9555
Fax
(270) 259-1669
NPI assigned
May 20, 2014
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008658 KY
Acute Care Nurse Practitioner 363LA2100X 3008658 KY
Gerontology Nurse Practitioner 363LG0600X 3008658 KY
Family Nurse Practitioner 363LF0000X 3008658 KY Primary

Addresses

Primary practice location

910 Wallace Ave
Leitchfield, KY 42754-2414

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

790 North Dixie Avenue
Elizabethtown, KY 42701
Phone (270) 234-0238

Other practice location 2

201 Abraham Flexner Way Ste 1200
Louisville, KY 40202-3841
Phone (502) 588-7600

Other practice location 3

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-4700

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address twilliams119011@direct.owensborohealth.org
Direct Messaging Address twilliams119011@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161020002067 KY Practitioner - Nurse Practitioner 3375821614 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simplicity Health Nursing HomeGroup PAC ID 2668822891, 10 clinicians

Practice addresses (Care Compare)

104 Daventry LN
Suite 2
Louisville, KY 40223-2883
Phone (502) 445-7957

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008658KYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simplicity Health Nursing Home Nurse Practitioner CurrentSince Oct 17, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 21, 2017 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Nov 11, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 21, 2017 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
Mountain After Hours Clinic PSC CurrentSince Jun 1, 2024 Accepting new patients
Owensboro Health Medical Group, Inc. Nurse Practitioner CurrentSince Nov 11, 2022 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Apr 1, 2017 Accepting new patients
Amin's Family Practice Associates , PSC Acute Care CurrentSince Apr 7, 2021 Accepting new patients
Simplicity Transitional Health LLC CurrentSince Oct 17, 2025 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1908 N Main St
Ste 120
Hazard, KY 41701

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005

104 Daventry Ln
Ste 2
Louisville, KY 40223
Phone (502) 445-7957

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD
  • Direct secure messaging: twilliams119011@direct.owensborohealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1285045682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WALLACE AVE",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542414",
            "telephone_number": "270-259-9555",
            "fax_number": "270-259-1669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 North Dixie Avenue",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "42701",
            "country_code": "US",
            "telephone_number": "270-234-0238",
            "fax_number": "270-900-4764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Abraham Flexner Way Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023841",
            "country_code": "US",
            "telephone_number": "502-588-7600",
            "fax_number": "502-588-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-4700",
            "fax_number": "270-417-4709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TANISHA",
        "middle_name": "MONIQUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008658",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3008658",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3008658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilliams119011@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1201 Pleasant Valley Rd",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twilliams119011@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "910 Wallace Ave",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427542414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.