I'Lisa Beth Williams, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

230556 Issued in AR

Practice address

6221 Colonel Glenn Rd Ste B
Little Rock, AR 72204-7731

Phone

(317) 509-3019

NPI assigned

Oct 29, 2024

Sex

Female

Sole proprietor

No

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 AR

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Divine Mercy Health CenterGroup PAC ID 2961914437, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Divine Mercy Health Center

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1609661305
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1831911056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 MEADOW OAK DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202562",
            "telephone_number": "501-837-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 COLONEL GLENN RD STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047731",
            "telephone_number": "317-509-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "I'LISA",
        "middle_name": "BETH",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "230556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgetta Williams, QBHP
• Hannah Henson Williams, M.D.
• Harrison Anthony Williams
• Heather Renee Williams, MD
• Hillary Williams
• James Williams, MHPP
• James Brandon Williams, QBHP
• James Garrett Williams, M.D.
• James J Williams, MSW, LCSW
• James L Williams Jr., MHPP

• Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.