Individual provider Active NPI

Lionel Williamson, FNP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1881996445
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20422 Issued in CA
Practice address
8325 Elk Grove Florin Rd Ste 800
Sacramento, CA 95829-9524
Phone
(916) 226-6190
Fax
(916) 689-5038
NPI assigned
Dec 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20422 CA Primary

Addresses

Primary practice location

8325 Elk Grove Florin Rd Ste 800
Sacramento, CA 95829-9524

Mailing address

3001 Douglas Blvd
Ste 325
Roseville, CA 95661-4289
Phone (916) 241-9844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20131106002011 CA Practitioner - Nurse Practitioner 2860627411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6608 Mercy CT
Suite B
Fair Oaks, CA 95628-3171
Phone (916) 241-9844

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Jul 1, 2023 Accepting new patients
Community Health Centers of America CurrentSince Jul 1, 2023 Accepting new patients
Capital Medical Extended Care Past Accepting new patients

Locations

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1881996445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DOUGLAS BLVD",
            "address_2": "STE 325",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614289",
            "telephone_number": "916-241-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 ELK GROVE FLORIN RD STE 800",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299524",
            "telephone_number": "916-226-6190",
            "fax_number": "916-689-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "LIONEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-02",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.