Individual provider Active NPI

Lisa C Williams

  • Peer Specialist
  • Dover, DE
National Provider Identifier
1770462491
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
2471 Issued in DE
Practice address
8 The GRN Ste a
Dover, DE 19901-3618
Phone
(302) 563-7318
NPI assigned
Aug 27, 2025
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NU
Peer Specialist 175T00000X 2471 DE Primary
Health & Wellness Coach 171400000X Q474292783 DE

Addresses

Primary practice location

8 The GRN Ste a
Dover, DE 19901-3618

Mailing address

1207 Glossy Ibis CT
Middletown, DE 19709-2231
Phone (302) 563-7318

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

State licenses

LicenseStateTypeSpecialty
Q474292783DEMDHealth & Wellness Coach
2471DEMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
A Shoulder to Lean on Health & Wellness Coach CurrentSince Sep 3, 2025 Accepting new patients

Locations

600 N Broad St
Ste 5
Middletown, DE 19709
Phone (302) 219-3793

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, 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": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1770462491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 GLOSSY IBIS CT",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092231",
            "telephone_number": "302-563-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 THE GRN STE A",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013618",
            "telephone_number": "302-563-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LISA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "DE",
            "license": "2471",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "DE",
            "license": "Q474292783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.