Individual provider Active NPI

Tyniece Williams

  • In Home Supportive Care Agency
  • Lawrence, IN
National Provider Identifier
1629909783
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
5023 E 56TH St Ste 305
Lawrence, IN 46226-1471
Phone
(317) 498-7017
Fax
(463) 210-1113
NPI assigned
May 27, 2026
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X IN
Non-emergency Medical Transport (VAN) 343900000X IN
Homemaker 376J00000X IN
In Home Supportive Care Agency 253Z00000X IN Primary

Addresses

Primary practice location

5023 E 56TH St Ste 305
Lawrence, IN 46226-1471

Mailing address

5023 E 56TH St Ste 305
Lawrence, IN 46226-1471
Phone (317) 498-7017

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

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1629909783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 E 56TH ST STE 305",
            "city": "LAWRENCE",
            "state": "IN",
            "postal_code": "462261471",
            "telephone_number": "317-498-7017",
            "fax_number": "463-210-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 E 56TH ST STE 305",
            "city": "LAWRENCE",
            "state": "IN",
            "postal_code": "462261471",
            "telephone_number": "317-498-7017",
            "fax_number": "463-210-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TYNIECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.