Individual provider Active NPI

Felissa Patterson Williams, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1487030474
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009146 Issued in KY
Practice address
4400 Breckenridge LN Ste 147
Louisville, KY 40218-4175
Phone
(502) 708-1904
Fax
(502) 708-2547
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 3009146 KY Primary

Addresses

Primary practice location

4400 Breckenridge LN Ste 147
Louisville, KY 40218-4175

Mailing address

4400 Breckenridge LN Ste 147
Louisville, KY 40218-4175
Phone (502) 708-1904

Other practice location 1

645 S Roy Wilkins Ave
Louisville, KY 40203-2072
Phone (502) 583-6988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20151006001908 KY Practitioner - Nurse Practitioner 3678881927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Living Primary CareGroup PAC ID 3375808900, 5 clinicians

Practice addresses (Care Compare)

4400 Breckenridge LN
Suite 147
Louisville, KY 40218-4175
Phone (502) 708-1904

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Louisville, KY, CCN 187000
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3009146KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Living Primary Care CurrentSince Jun 1, 2024 Accepting new patients

Locations

1517 Crums Ln
Louisville, KY 40216
Phone (502) 214-3210

4511 Bardstown Rd
Louisville, KY 40218
Phone (502) 419-0941

659 S 8th St
Louisville, KY 40203

4400 Breckenridge Ln
Ste 147
Louisville, KY 40218
Phone (502) 708-1904

Interoperability endpoints

  • Direct secure messaging: felissa.williams.1@20188.direct.athenahealth.com

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1487030474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 BRECKENRIDGE LN STE 147",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184175",
            "telephone_number": "502-708-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BRECKENRIDGE LN STE 147",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184175",
            "telephone_number": "502-708-1904",
            "fax_number": "502-708-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 S Roy Wilkins Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032072",
            "country_code": "US",
            "telephone_number": "502-583-6988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "FELISSA",
        "middle_name": "PATTERSON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.