Lisa Michelle Williams, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104-557424 Issued in VA

Practice address

1770 Timberwood Blvd Ste 103
Charlottesville, VA 22911-7501

Phone

(434) 218-2620

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jubilee Family Chiropractic, LLC

  • Chiropractor
  • Charlottesville, VA
  • NPI 1447788914
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699203166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 TIMBERWOOD BLVD STE 103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117501",
            "telephone_number": "434-218-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 TIMBERWOOD BLVD STE 103",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117501",
            "telephone_number": "434-218-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104-557424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Burns Williams
• Jestin Williams, MD
• John G. Williams, M.D.
• Kenyada Williams, MD
• Kristen Michelle Williams, PA-C
• Michael Aaron Williams, M.D.
• Michael E. Williams, M.D.
• Rachel Williams
• Ramece A Williams
• Reagan Williams

• Chiropractor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.