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NPI · 1649964107 · NPPES-sourced

Tisa Williams

ActiveGerontology Nurse Practitioner
NPI Number
1649964107
Type 1 · Individual
Taxonomy Code
363LG0600X
Contact
(502) 896-4791
License KY · 4036265
Last Updated
Enumerated
Primary practice addressKY · 40207-4742
3999 Dutchmans Ln Ste 7bLouisville, KY 40207-4742
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About this NPIWhat this record shows.

NPI 1649964107 is registered to Tisa Williams, a Gerontology Nurse Practitioner practising at 3999 Dutchmans Ln Ste 7b in Louisville, Kentucky. Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Tisa Williams has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tisa Williams accepts. To confirm in-network status with your specific health plan, contact Tisa Williams directly at (502) 896-4791.

Frequently asked

Yes. NPI 1649964107 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Gerontology Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (502) 896-4791.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tisa Williams is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LG0600X
Last updated
Enumerated
StatusActive
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