Active NPI
Lydia A Williams, FNP-BC, CRNP, CWOCN
- Primary Care Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- SP012908
- Practice address
- 2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014 - Phone
- (215) 320-6187
- NPI assigned
- Oct 31, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP012908 | PA | Primary |
| Registered Nurse | 163W00000X | RN563858 | PA |
Addresses
Primary practice location
2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014
Mailing address
1500 Market St
LM 500 West Tower
Philadelphia, PA 19120-2100
Phone (215) 985-2595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN563858 | PA | MD | Registered Nurse |
| SP012908 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project Home | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Project Home | Current | Accepting new patients |
Locations
1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150
125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500
2144 Cecil B Moore Ave
Philadelphia, PA 19121
Phone (215) 320-6187
1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212
5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440
Interoperability endpoints
- lydia.williams.p1@direct.projecthome.nextgenshare.com
- lydiawilliams@nncc.allscriptsdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/HFBGDD
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1609122506
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881779866
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1225512031
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1467776989
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1932245099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1962830836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MARKET ST",
"address_2": "LM 500 WEST TOWER",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191202100",
"telephone_number": "215-985-2595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2144 CECIL B MOORE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191214014",
"telephone_number": "215-320-6187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LYDIA",
"middle_name": "A",
"credential": "FNP-BC, CRNP, CWOCN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-31",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP012908",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN563858",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.