Active NPI
Beverly Diane Williams, APRN, FNP-BC
- Family Nurse Practitioner
- Berea, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRNCNP019545
- Practice address
- 205 W Bagley Rd
Berea, OH 44017-1886 - Phone
- (440) 398-8018
- Fax
- (440) 398-8019
- NPI assigned
- Jun 3, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F0716916 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRNCNP019545 | OH | Primary |
Addresses
Primary practice location
205 W Bagley Rd
Berea, OH 44017-1886
Mailing address
7580 Northcliff Ave Ste 700
Brooklyn, OH 44144-3271
Other practice location 1
7715 W Ridgewood Dr
Parma, OH 44129-5553
Phone (440) 809-8132
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6210 Brandt Pike
Huber Heights, OH 45424-4019
Phone (937) 236-8630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0716916 | OH | MD | Family Medicine Physician |
| APRNCNP019545 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Urgent Care Specialists, LLC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Quick Med Urgent Care LLC | Past | Accepting new patients |
Locations
3602 N Main St
Dayton, OH 45405
Phone (614) 505-7633
6210 Brandt Pike
Ste 102
Huber Heights, OH 45424
Phone (937) 236-8630
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
7715 W Ridgewood Dr
Parma, OH 44129
Phone (440) 809-8132
1200 Vester Ave
Springfield, OH 45503
Phone (937) 342-9520
1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066
Interoperability endpoints
- https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1114957123
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
-
- Urgent Care Clinic/Center
- Youngstown, OH
- NPI 1528528726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1285162206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7580 NORTHCLIFF AVE STE 700",
"city": "BROOKLYN",
"state": "OH",
"postal_code": "441443271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W BAGLEY RD",
"city": "BEREA",
"state": "OH",
"postal_code": "440171886",
"telephone_number": "440-398-8018",
"fax_number": "440-398-8019"
}
],
"practiceLocations": [
{
"address_1": "7715 W Ridgewood Dr",
"address_purpose": "LOCATION",
"city": "Parma",
"state": "OH",
"postal_code": "441295553",
"country_code": "US",
"telephone_number": "440-809-8132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BEVERLY",
"middle_name": "DIANE",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-03",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "F0716916",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRNCNP019545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berea, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.