Individual provider Active NPI

Lisa Marie Williams

  • Psychiatric/Mental Health Nurse Practitioner
  • Westampton, NJ
National Provider Identifier
1407440878
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01118800 Issued in NJ
Practice address
25 Ikea Dr
Westampton, NJ 08060-5115
Phone
(609) 267-9339
Fax
(609) 518-0750
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01118800 NJ Primary

Addresses

Primary practice location

25 Ikea Dr
Westampton, NJ 08060-5115

Mailing address

25 Ikea Dr
Westampton, NJ 08060-5115
Phone (609) 267-9339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220124000570 NJ Practitioner - Nurse Practitioner 4789076886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities Diocese of TrentonGroup PAC ID 0345214466, 30 clinicians

Practice addresses (Care Compare)

25 Ikea Dr
Westampton, NJ 08060-5115
Phone (609) 394-3209

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01118800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities, Diocese of Trenton CurrentSince Oct 12, 2021 Accepting new patients

Locations

383 W State St
Trenton, NJ 08618
Phone (609) 278-4933

39 N Clinton Ave
Trenton, NJ 08609
Phone (609) 394-5157

25 Ikea Dr
Westampton, NJ 08060
Phone (609) 267-9339

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1407440878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 IKEA DR",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605115",
            "telephone_number": "609-267-9339",
            "fax_number": "609-267-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 IKEA DR",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605115",
            "telephone_number": "609-267-9339",
            "fax_number": "609-518-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01118800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

Verify at the official NPI Registry.