Active NPI
Tylar Alexis Williams, APRN
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014034
- Practice address
- 2949 Breckenridge LN
Louisville, KY 40220-1408 - Phone
- (502) 446-5555
- Fax
- (502) 638-3391
- NPI assigned
- Sep 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014034 | KY | Primary |
Addresses
Primary practice location
2949 Breckenridge LN
Louisville, KY 40220-1408
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 559-9423
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300093701 | Medicaid | IN | |
| 7100698440 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Medical Associates Inc
Practice addresses (Care Compare)
220 E Lewis and Clark Pkwy
Norton Prompt Care
Clarksville, IN 47129-1724
Phone (812) 280-5315
2949 Breckenridge LN
Louisville, KY 40220-1408
Phone (502) 861-4500
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 66.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.72
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.11 of 100
- Quality
- 63.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Kiosk Medicine Kentucky LLC | Family | Current | Accepting new patients |
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Medical Associates, Inc. | Family | Current | Accepting new patients |
| Community Medical Associates | Current | Accepting new patients | |
| Kiosk Medicine Kentucky LLC | Family | Past | Accepting new patients |
Locations
220 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 280-5315
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
2949 Breckenridge Ln
Louisville, KY 40220
Phone (502) 446-5555
279 N Hubbards LN
Louisville, KY 40207
Phone (502) 618-8058
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555
279 N Hubbards LN
Louisville, KY 40207
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Family
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1205885035
-
dba Norton Community Medical Associates
- Radiology Clinic/Center
- Elizabethtown, KY
- NPI 1669245510
-
dba Norton Prompt Care
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1073089850
Family
-
dba Norton Community Medical Associates
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1336562396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1316551526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-559-9423",
"fax_number": "502-272-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2949 BRECKENRIDGE LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201408",
"telephone_number": "502-446-5555",
"fax_number": "502-638-3391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TYLAR",
"middle_name": "ALEXIS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3014034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300093701",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100698440",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.