Individual provider Active NPI

Amanda K. Williams, CNP

  • Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1881127280
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.021228 Issued in OH
Practice address
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone
(513) 475-9567
Fax
(513) 475-4019
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.021228 OH Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.021228 OH

Addresses

Primary practice location

3188 Bellevue Ave
Cincinnati, OH 45219-2369

Mailing address

3200 Burnet Ave
2 Ridgeway
Cincinnati, OH 45229-3019

Other identifiers 3

IdentifierTypeStateIssuer
300087137MedicaidIN
7100857260MedicaidKY
0237164MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170828000761 OH Practitioner - Nurse Practitioner 3779855606 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021228OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Nurse Practitioner CurrentSince Oct 3, 2022 Accepting new patients
The Hospice of Dayton, Inc. CurrentSince May 1, 2025 Accepting new patients
Adena Medical Group LLC CurrentSince Aug 15, 2019 Accepting new patients
Pure Healthcare LLC Nurse Practitioner CurrentSince Nov 22, 2021 Accepting new patients
Lifecare Hospice Past Accepting new patients

Locations

1109 Eastern Ave
Ashland, OH 44805
Phone (330) 264-4899

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

7575 Paragon Rd
Dayton, OH 45459
Phone (937) 256-4490

2200 Miami Valley Dr
Dayton, OH 45459
Phone (937) 668-7873

324 Wilmington Ave
Kettering, OH 45420
Phone (937) 256-4490

1263 Glen Dr
#B
Millersburg, OH 44654
Phone (330) 264-4899

716 Commercial Ave SW
New Philadelphia, OH 44663
Phone (330) 343-7605

2269 Cherry Valley Rd SE
Newark, OH 43055
Phone (740) 344-0311

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

1900 Akron Rd
Wooster, OH 44691
Phone (330) 264-4899

Interoperability endpoints

  • Direct secure messaging: awilliams463602@direct.uchealth.com

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 2

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1881127280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BURNET AVE",
            "address_2": "2 RIDGEWAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 BELLEVUE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192369",
            "telephone_number": "513-475-9567",
            "fax_number": "513-475-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMANDA",
        "middle_name": "K.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021228",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021228",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300087137",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100857260",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237164",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.