Active NPI
Sherri Lynn Williams
- Case Management Registered Nurse
- Louisville, KY
National Provider Identifier
1790321792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 1162457
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1162457 | KY | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Maintenance Advantage, PLLC | Current | 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.
-
- Case Management Agency
- Elizabethtown, KY
- NPI 1386381333
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.