Individual provider Active NPI

Amanda Williams, NP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1306371026
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP18808 Issued in OH
Practice address
7981 Beechmont Ave
Cincinnati, OH 45255
Phone
(513) 475-8690
Fax
(513) 475-7593
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18808-NP OH
Family Nurse Practitioner 363LF0000X APRNCNP18808 OH Primary

Addresses

Primary practice location

7981 Beechmont Ave
Cincinnati, OH 45255

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-5506

Other practice location 1

8731 Bankers St
Florence, KY 41042-4240
Phone (859) 282-8849

Other practice location 2

8731 Bankers St
Florence, KY 41042-4240
Phone (859) 282-8849

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110001259 KY Practitioner - Family Practice 5991061772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRNCNP18808OHMDFamily Nurse Practitioner
COA.18808-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Medical Group PSC Family CurrentSince Oct 2, 2017 Accepting new patients

Locations

8731 Bankers St
Unit A
Florence, KY 41042
Phone (859) 282-8840

8731 Bankers St
Florence, KY 41042
Phone (859) 282-8840

7981 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 232-1847

Organizations & group practices 1

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1306371026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7981 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45255",
            "telephone_number": "513-475-8690",
            "fax_number": "513-475-7593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8731 Bankers St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424240",
            "country_code": "US",
            "telephone_number": "859-282-8849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8731 Bankers St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424240",
            "country_code": "US",
            "telephone_number": "859-282-8849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18808-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP18808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.