Individual provider Active NPI

Tara Williams, MSN, APRN, ANP-BC

  • Adult Health Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1497092928
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
005200 Issued in CT
Practice address
155 Hazard Ave Ste 2
Enfield, CT 06082-4586
Phone
(860) 698-6041
NPI assigned
Jan 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 005200 CT Primary
Registered Nurse 163W00000X 87625 CT
Registered Nurse 163W00000X RN2269388 MA

Addresses

Primary practice location

155 Hazard Ave Ste 2
Enfield, CT 06082-4586

Mailing address

32 Neelans Rd
Enfield, CT 06082-5713
Phone (860) 989-2138

Other names 1

  • Tara Lamesa Former name

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)
Not enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
87625CTMDRegistered Nurse
RN2269388MAMDRegistered Nurse
005200CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MW Wellness VIII, LLC CurrentSince Jun 8, 2025 Accepting new patients
MW Wellness II, LLC PastSince Jun 8, 2025 Accepting new patients
MW Wellness XV LLC PastSince Dec 26, 2021 Accepting new patients
Naugatuck Valley Weight Loss Center LLC Past Accepting new patients

Locations

99 Farmington Ave
Ste 15
Bristol, CT 06010

155 Hazard Ave
Ste 2
Enfield, CT 06082
Phone (860) 698-6041

109 Boston Post Rd
Orange, CT 06477
Phone (203) 298-4600

Organizations & group practices 4

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": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1497092928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 NEELANS RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060825713",
            "telephone_number": "860-989-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE STE 2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824586",
            "telephone_number": "860-698-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TARA",
        "credential": "MSN, APRN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "005200",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "87625",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2269388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "LAMESA",
            "credential": "MSN, APRN, ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.