Individual provider Active NPI

Tylar Alexis Williams, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1316551526
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014034 Issued in KY
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

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300093701MedicaidIN
7100698440MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200929002071 KY Practitioner - Nurse Practitioner 2163841818 Reassigns benefits to 2 organizations
I20250826003115 IN Practitioner - Nurse Practitioner 2163841818 Reassigns benefits to 1 organization

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 IncGroup PAC ID 7012811284, shared by 2 NPIs, 1,368 clinicians

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 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Aug 24, 2020 Accepting new patients
Community Medical Associates, Inc. Family CurrentSince Jun 12, 2025 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
Community Medical Associates CurrentSince Aug 1, 2024 Accepting new patients
Kiosk Medicine Kentucky LLC Family PastSince Aug 24, 2020 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.

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

Verify at the official NPI Registry.