Individual provider Active NPI

Angela Kay Williams, APRN

  • Gerontology Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1962911412
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.021847 Issued in OH
Practice address
5464 Burkhardt Rd
Dayton, OH 45431-2112
Phone
(833) 510-4357
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.021847 OH Primary

Addresses

Primary practice location

5464 Burkhardt Rd
Dayton, OH 45431-2112

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other names 1

  • Angela Kay Brinkerhoff Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180110003566 OH Practitioner - Nurse Practitioner 2466711809 Reassigns benefits to 4 organizations
I20251212002775 NC Practitioner - Nurse Practitioner 2466711809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

8120 Garnet Dr
Dayton, OH 45458-2141
Phone (833) 510-4357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021847OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview, LLC CurrentSince Oct 5, 2020 Accepting new patients
Onefifteen Care LLC CurrentSince Mar 22, 2025 Accepting new patients
Mobile Medical, Inc. CurrentSince Aug 27, 2018 Accepting new patients
Boulder Care Provider Group PA CurrentSince Sep 17, 2025 Accepting new patients
Brightview LLC CurrentSince Oct 5, 2020 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

575 White Pond Dr
Ste A
Akron, OH 44320
Phone (330) 835-1629

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

615 Elsinore Pl
Ste 200
Cincinnati, OH 45202
Phone (513) 639-2800

257 Hopeland St
Bldg A
Dayton, OH 45417
Phone (937) 245-6119

8120 Garnet Dr
Dayton, OH 45458
Phone (937) 291-2511

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

5464 Burkhardt Rd
Riverside, OH 45431
Phone (937) 966-4673

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

Organizations & group practices 7

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1962911412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 BURKHARDT RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454312112",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANGELA",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.021847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BRINKERHOFF",
            "middle_name": "KAY",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.