Tanisha Monique Williams, FNP-C

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

Sex

Female

Sole proprietor

No

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.

• Simplicity Health Nursing Home

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1043095003

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Amin'S Family Practice Associates , PSC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1750307393

  Acute Care, KY

  Medicare reassignment NPD
• Mountain After Hours Clinic PSC

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1477638880

  KY

  Medicare reassignment NPD
• Owensboro Health Medical Group Inc

  • Surgery Physician
  • Greenville, KY
  • NPI 1235518242

  KY

  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316

  KY, Nurse Practitioner

  Medicare reassignment NPD
• Owensboro Health Medical Group Inc

  • Internal Medicine Physician
  • Owensboro, KY
  • NPI 1306700711

  Family

  NPD
• Owensboro Health Medical Group, Inc.

  • Internal Medicine Physician
  • Leitchfield, KY
  • NPI 1487392510

  Nurse Practitioner

  NPD
• Simplicity Transitional Health LLC

  • Family Medicine Physician
  • Louisville, KY
  • NPI 1831884568
  NPD
• University of Louisville Physicians, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Louisville, KY
  • NPI 1073879755
  NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• Southeastern Emergency Services P C

  • Nurse Practitioner
  • Athens, TN
  • NPI 1669414264
  NPD
• University of Louisville Physicians, Inc.

  • Urology Physician
  • Louisville, KY
  • NPI 1619242757
  NPD (past)

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

• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1043348808

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1073568879

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1124314158

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1154329696

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1174819106

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1447388335

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Medical Specialty Clinic/Center
  • Louisville, KY
  • NPI 1659669414

  Hospital

  Care Compare affiliation
• Norton Hospitals Inc

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1700105699

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • Radiology Clinic/Center
  • Louisville, KY
  • NPI 1255335873

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1699514463

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1831195908

  Hospital

  Care Compare affiliation
• Norton Hospitals, Inc

  • General Acute Care Hospital
  • Louisville, KY
  • NPI 1891799227

  Hospital

  Care Compare affiliation

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 Home 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIEDDD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 5, 2022.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100453830-KOHMG",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201398760A (KOHMG)",
            "state": "KY"
        }
    ],
    "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": []
}

• Wendy N Lee Medical Offices PLLC
• Samuel White
• Amber Elizabeth Whobrey
• Benjamin Wayne Williams, P.A.
• Kiarra Williams, LPCC
• Earl Denis Wilson, D.M.D.
• Krista Juliane Wilson, TCADC
• Owen Dale Wilson, DMD
• Troy D Wood, D.C.
• Regan Alyssa Woodcock, M.S. CCC-SLP

• All providers in Leitchfield, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.
• 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.

Verify at the official NPI Registry.