Active NPI
Aimee Elizabeth Williamson, APRN
- Pediatric Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 4012335
- Practice address
- 740 S Limestone
Lexington, KY 40536-1003 - Phone
- (859) 323-5661
- Fax
- (859) 323-6411
- NPI assigned
- Dec 26, 2019
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2018002345 | MO | |
| Pediatric Nurse Practitioner | 363LP0200X | 4012335 | KY | Primary |
Addresses
Primary practice location
740 S Limestone
Lexington, KY 40536-1003
Mailing address
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 268-4110
Other practice location 1
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 268-4110
Other names 1
- Aimee Elizabeth Roddy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KY
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018002345 | MO | MD | Pediatrics Physician |
| 4012335 | KY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Children'S Hospital | Pediatrics | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients | |
| SSM Cardinal Glennon Childrens Hospital | Pediatrics | Current | Accepting new patients |
| SSM Cardinal Glennon Childrens Hospital | Pediatrics | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
3878 Pershall Rd
Saint Louis, MO 63135
Phone (314) 344-6021
Interoperability endpoints
- aroddy339038@ukhcdirect.org
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.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
- Pediatrics Physician
- Saint Louis, MO
- NPI 1073568226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1982243721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1465 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041003",
"telephone_number": "314-268-4110",
"fax_number": "314-268-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S LIMESTONE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405361003",
"telephone_number": "859-323-5661",
"fax_number": "859-323-6411"
}
],
"practiceLocations": [
{
"address_1": "1465 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041003",
"country_code": "US",
"telephone_number": "314-268-4110",
"fax_number": "314-268-4130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "AIMEE",
"middle_name": "ELIZABETH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2018002345",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "KY",
"license": "4012335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AIMEE",
"last_name": "RODDY",
"middle_name": "ELIZABETH",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.