Individual provider Active NPI

Lynester Williams, APRN

  • Family Health Clinical Nurse Specialist
  • Lithonia, GA
National Provider Identifier
1396344586
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
RN242474 Issued in GA
Practice address
1876 Rock Chapel Rd
Lithonia, GA 30058-5105
Phone
(347) 322-7113
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X RN242474 GA Primary

Addresses

Primary practice location

1876 Rock Chapel Rd
Lithonia, GA 30058-5105

Mailing address

1876 Rock Chapel Rd
Lithonia, GA 30058-5105
Phone (347) 322-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230505001452 TX Practitioner - Nurse Practitioner 3173929254 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN242474GAMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area CurrentSince May 1, 2023 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 1, 2023 Accepting new patients
Irene Benn Medical Center CurrentSince Mar 1, 2023 Accepting new patients
DHHS IHS Phoenix Area CurrentSince May 1, 2023 Accepting new patients
DHHS IHS Phoenix CurrentSince May 1, 2023 Accepting new patients
Medlink Management Services Inc Past Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

Organizations & group practices 6

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1396344586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 ROCK CHAPEL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585105",
            "telephone_number": "347-322-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 ROCK CHAPEL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585105",
            "telephone_number": "347-322-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LYNESTER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "GA",
            "license": "RN242474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.