Active NPI
Lisa Drewry Williams, APRN, BC
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
National Provider Identifier
1376658062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN7040
- Practice address
- 871 Ridgeway Loop Rd
Suite 108
Memphis, TN 38120 - Phone
- (901) 871-0170
- Fax
- (901) 871-0353
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN7040 | TN | Primary |
Addresses
Primary practice location
871 Ridgeway Loop Rd
Suite 108
Memphis, TN 38120
Mailing address
871 Ridgeway Loop Rd
Suite 108
Memphis, TN 38120
Phone (901) 871-0170
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3376331 | Medicaid | TN | |
| 4046552 | Other | TN | BCBS |
| 3345708 | Medicaid | TN |
Other names 1
- Lisa Drewry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN7040 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- lisa.williams.1@32343.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1376658062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "871 RIDGEWAY LOOP RD",
"address_2": "SUITE 108",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-871-0170",
"fax_number": "901-871-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "871 RIDGEWAY LOOP RD",
"address_2": "SUITE 108",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-871-0170",
"fax_number": "901-871-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LISA",
"middle_name": "DREWRY",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "APN7040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3376331",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4046552",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3345708",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "DREWRY",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.