CAROLYN R. WILLIAMS
NPI 1073456232
Dietitian, Registered in Xenia, OH

Q: What is Carolyn Williams's NPI number?

The NPI number for Carolyn Williams is 1073456232. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Q: What is Carolyn Williams's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Williams was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2026

2953 AMBROSIA LN W, XENIA, OH 45385(502) 614-0636 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Carolyn R. Williams NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN R. WILLIAMS (NPI 1073456232) is an individual dietitian, registered in Xenia, Ohio, licensed in Ohio (LD.6576) and active in the NPI registry since April 2026. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1073456232

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameCAROLYN R. WILLIAMS

Location Address2953 AMBROSIA LN WXenia, OH 45385-2794

Mailing Address2953 Ambrosia Ln WXenia, OH 45385-2794 · (502) 614-0636

Phone(502) 614-0636

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateApril 13, 2026

NPPES CertifiedApril 13, 2026

✔ NPI 1073456232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Licenses✔ Licensed in OH · LD.6576✔ Licensed in KY · 121320

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2953 AMBROSIA LN W, Xenia, OH 45385

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn R. Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618440793

PECOS Enrollment IDI20260622001410

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthy Hearts Nutrition LLC

5.5 mi

Health Service

4359 E ENON RD
Yellow Springs, OH 45387

Reassigned Medicare billing, Ohio enrollment
16 clinicians in this Medicare group

NPI 1609128784 (937) 206-1131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Williams's NPI number?

The NPI number for Carolyn Williams is 1073456232. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Carolyn Williams located?

Carolyn Williams practices at 2953 Ambrosia Ln W, Xenia, OH 45385. The listed phone number is (502) 614-0636.

What is Carolyn Williams's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Carolyn Williams enrolled in Medicare?

Yes. Carolyn Williams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carolyn Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Williams reassigns Medicare benefits to Healthy Hearts Nutrition LLC (Yellow Springs, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Williams accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Carolyn Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carolyn Williams was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.