Active NPI
Lisa T Williams-Holloway, DNP
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1891090437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4133
- Practice address
- 9610 Two Notch Rd Ste 7
Columbia, SC 29223-1601 - Phone
- (803) 722-6001
- Fax
- (803) 661-7005
- NPI assigned
- Jan 12, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4133 | SC | Primary |
Addresses
Primary practice location
9610 Two Notch Rd Ste 7
Columbia, SC 29223-1601
Mailing address
122 Camberley CT
Columbia, SC 29223-6725
Phone (706) 399-4916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2477 | Medicaid | SC | |
| 4133 | Other | SC | SC STATE LICENSE |
Other names 1
- Dr. Lisa T Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4133 | SC | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Assessments Unlimited Medical Evaluation and Primary Care
- Family Nurse Practitioner
- Columbia, SC
- NPI 1790350494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1891090437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 CAMBERLEY CT",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236725",
"telephone_number": "706-399-4916",
"fax_number": "803-661-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9610 TWO NOTCH RD STE 7",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292231601",
"telephone_number": "803-722-6001",
"fax_number": "803-661-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-HOLLOWAY",
"first_name": "LISA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-12",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "4133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2477",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC STATE LICENSE",
"identifier": "4133",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "WILLIAMS",
"middle_name": "T",
"prefix": "DR.",
"credential": "DNP, FNP-BC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.