Individual provider Active NPI

Beverly Diane Williams, APRN, FNP-BC

  • Family Nurse Practitioner
  • Berea, OH
National Provider Identifier
1285162206
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP019545 Issued in OH
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

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521002437 OH Practitioner - Nurse Practitioner 5597020651 Reassigns benefits to 2 organizations

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
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

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

LicenseStateTypeSpecialty
F0716916OHMDFamily Medicine Physician
APRNCNP019545OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Apr 1, 2022 Accepting new patients
Urgent Care Specialists, LLC CurrentSince Jun 1, 2025 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Quick Med Urgent Care LLC PastSince Oct 12, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.