Individual provider Active NPI

Susan Williams, C.N.P.

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1982794806
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.08830 Issued in OH
Practice address
750 W High St Ste 300
Lima, OH 45801-2967
Phone
(419) 229-6781
Fax
(614) 386-9506
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 APRN.CNP.08830 OH Primary

Addresses

Primary practice location

750 W High St Ste 300
Lima, OH 45801-2967

Mailing address

750 W High St Ste 300
Lima, OH 45801-2967
Phone (419) 229-6781

Other practice location 1

609 E Chestnut St
Lancaster, OH 43130-3900
Phone (740) 206-7131

Other identifiers 1

IdentifierTypeStateIssuer
0127492MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160216001645 OH Practitioner - Nurse Practitioner 7911202734 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08830OHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Ohio Dermatology, Inc. CurrentSince Feb 4, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1005 Bellefontaine Ave
Ste 225
Lima, OH 45804
Phone (419) 998-8276

750 W High St
Ste 300
Lima, OH 45801
Phone (419) 227-5864

Organizations & group practices 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1982794806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST STE 300",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012967",
            "telephone_number": "419-229-6781",
            "fax_number": "614-386-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HIGH ST STE 300",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458012967",
            "telephone_number": "419-229-6781",
            "fax_number": "614-386-9506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303900",
            "country_code": "US",
            "telephone_number": "740-206-7131",
            "fax_number": "614-386-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SUSAN",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.08830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0127492",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.