Individual provider Active NPI

Lonna L Williams, APRN

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1851390918
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001597A Issued in IN
Practice address
5330 E Stop 11 Rd
Indianapolis, IN 46237-6345
Phone
(317) 893-1900
Fax
(317) 893-1901
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP 9425102 FL
Adult Health Nurse Practitioner 363LA2200X 71001597A IN Primary

Addresses

Primary practice location

5330 E Stop 11 Rd
Indianapolis, IN 46237-6345

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

4741 Military Trl Ste 100
Jupiter, FL 33458-4842
Phone (561) 627-3130

Other identifiers 5

IdentifierTypeStateIssuer
IR475ZOtherFLMEDICARE
P01134429OtherINMEDICARE RR
P01214620OtherINRR MEDICARE PTAN
016694800MedicaidFL
200822790MedicaidIN

Other names 1

  • Lonna L Weaver Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060613000246 IN Practitioner - Nurse Practitioner 8426060393 Reassigns benefits to 1 organization
I20160923001026 FL Practitioner - Nurse Practitioner 8426060393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

2451 Intelliplex Dr
Suite 220
Shelbyville, IN 46176-8581
Phone (317) 421-1900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9425102FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Feb 26, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Feb 26, 2023 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jul 12, 2016 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jul 12, 2016 Accepting new patients
Indiana Heart Associates PC Past Accepting new patients

Locations

9960 Central Park Blvd N
Ste 400
Boca Raton, FL 33428
Phone (561) 295-9100

4741 Military Trl
Ste 100
Jupiter, FL 33458
Phone (561) 627-3130

500 University Blvd
Ste 208
Jupiter, FL 33458
Phone (561) 624-5311

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

5330 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 893-1920

2451 Intelliplex Dr
Ste 220
Shelbyville, IN 46176
Phone (317) 421-1900

2451 Intelliplex Dr
#210
Shelbyville, IN 46176
Phone (317) 421-1914

2451 Intelliplex Dr
Ste 210
Shelbyville, IN 46176
Phone (317) 421-1868

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1851390918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 E STOP 11 RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376345",
            "telephone_number": "317-893-1900",
            "fax_number": "317-893-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4741 Military Trl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334584842",
            "country_code": "US",
            "telephone_number": "561-627-3130",
            "fax_number": "561-627-8971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LONNA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9425102",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001597A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IR475Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01134429",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01214620",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016694800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200822790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LONNA",
            "last_name": "WEAVER",
            "middle_name": "L",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.