Lystra Eastlyn Williams, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R132674 Issued in MD

Practice address

7310 Ritchie Hwy Ste 405
Glen Burnie, MD 21061

Phone

(410) 788-6727

Fax

(410) 788-6727

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Continuum Wellness Center LLC.

  • Health Educator
  • Glen Burnie, MD
  • NPI 1427695808

  Multi-Specialty

  NPD (past) Authorized official
• Continuum Wellness Center LLC.

  • Health Educator
  • Catonsville, MD
  • NPI 1871136572

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1871678995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W ROLLING XRDS STE 111",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212286204",
            "telephone_number": "410-788-6727",
            "fax_number": "410-788-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 405",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "21061",
            "telephone_number": "410-788-6727",
            "fax_number": "410-788-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Ellwood Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212244900",
            "country_code": "US",
            "telephone_number": "410-342-6644",
            "fax_number": "410-327-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S Ellwood Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212244900",
            "country_code": "US",
            "telephone_number": "410-342-6644",
            "fax_number": "410-327-3949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LYSTRA",
        "middle_name": "EASTLYN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R132674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011706400",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.mycontinuumwellness.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "7310 Ritchie Hwy Ste 405",
            "city": "Glen Burnie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210613092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William's Restoration of Hope
• William's Restoration of Hope
• Sondra Marie Williams Jones, MSW-LMSW
• Brandon F Williams, LCSW-C
• Hope Williams
• Veronica Jenene Williams, N.P.
• Jillian M Wilson, LAT, ATC
• Maria Victoria Wilson, PA
• Aleta Margaret Wimbush
• Kevin S. Winstead, PA-C

• Adult Health Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.