Individual provider Active NPI

Olayide R Williams

  • Primary Care Nurse Practitioner
  • Lincoln, RI
National Provider Identifier
1639688450
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN01680 Issued in RI
Practice address
6 Blackstone Valley Place
BLDG 3, Suite 306B
Lincoln, RI 02865-1112
Phone
(401) 723-9250
NPI assigned
Sep 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN01680 RI Primary

Addresses

Primary practice location

6 Blackstone Valley Place
BLDG 3, Suite 306B
Lincoln, RI 02865-1112

Mailing address

132 Old River Rd Ste 108
Lincoln, RI 02865-1397
Phone (401) 723-9250

Other practice location 1

333 Budlong Rd
Cranston, RI 02920-6337
Phone (401) 943-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20180130002201 RI Practitioner - Nurse Practitioner 0143580761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Clinicals LLCGroup PAC ID 5294135620, 6 clinicians

Practice addresses (Care Compare)

132 Old River Rd
Suite 108
Lincoln, RI 02865-1397
Phone (401) 723-9250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Core Clinicals LLC CurrentSince Apr 1, 2022 Accepting new patients
Medicine and Long Term Care Associates, LLC CurrentSince Dec 3, 2017 Accepting new patients
Blueprint Healthcare LLC CurrentSince May 1, 2020 Accepting new patients

Locations

451 Andover St
Ste 205
North Andover, MA 01845
Phone (978) 983-2434

333 Budlong Rd
Cranston, RI 02920
Phone (401) 943-4530

6 Blackstone Valley Pl
Ste 306B
Lincoln, RI 02865
Phone (401) 331-4021

132 Old River Rd
Ste 108
Lincoln, RI 02865
Phone (401) 334-1044

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

180 Log Rd
Smithfield, RI 02917
Phone (401) 231-7016

4 Saint Joseph St
Woonsocket, RI 02895
Phone (401) 765-5844

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1639688450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OLD RIVER RD STE 108",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651397",
            "telephone_number": "401-723-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PLACE",
            "address_2": "BLDG 3, SUITE 306B",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651112",
            "telephone_number": "401-723-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Budlong Rd",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029206337",
            "country_code": "US",
            "telephone_number": "401-943-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "OLAYIDE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN01680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.