Individual provider Active NPI

Sherri Lynn Williams

  • Case Management Registered Nurse
  • Louisville, KY
National Provider Identifier
1790321792
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
1162457 Issued in KY
Practice address
10200 Forest Green Blvd Ste 112
Louisville, KY 40223-5167
Phone
(949) 701-6107
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 1162457 KY Primary

Addresses

Primary practice location

10200 Forest Green Blvd Ste 112
Louisville, KY 40223-5167

Mailing address

10200 Forest Green Blvd Ste 112
Louisville, KY 40223-5167
Phone (949) 701-6107

Other practice location 1

585 Walnut Hill Rd
Elizabethtown, KY 42701-2907
Phone (949) 701-6107

Other names 1

  • Sherri Williams Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Elizabethtown Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1162457KYMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Maintenance Advantage, PLLC CurrentSince May 22, 2022 Accepting new patients

Locations

10200 Forest Green Blvd
Ste 112
Louisville, KY 40223
Phone (502) 214-5343

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1790321792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 FOREST GREEN BLVD STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235167",
            "telephone_number": "949-701-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 FOREST GREEN BLVD STE 112",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235167",
            "telephone_number": "949-701-6107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Walnut Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012907",
            "country_code": "US",
            "telephone_number": "949-701-6107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHERRI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "KY",
            "license": "1162457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Elizabethtown",
            "affiliation": "N",
            "endpointDescription": "I use Tactico HIPAA compliant software AND Zoom for Business  which is HIPAA compliant",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "RPM and real time communications",
            "address_1": "585 Walnut Hill Rd",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427012907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHERRI",
            "last_name": "WILLIAMS",
            "credential": "RN CCM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.