JENNIFER R WILLIS (NPI# 1043526064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043526064 |
| Entity Type | Individual |
| Full Name | JENNIFER R WILLIS |
| Other Name | JENNIFER R. LIPSEY |
| Credential | NP |
| Practice Address |
601 S Floyd St Ste 700 Louisville KY 40202-1845 |
| Mailing Address |
Po Box 766351 Chicago IL 60677-6351 |
| Practice Telephone | 5026297181 |
| Practice Fax Number | 5026296957 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
1083742 | KY | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
28178246A | IN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 3006899 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT - NMFM | 50040392 | 01 |
| KY | 7100205410 | 05 | |
| KY | SIHO - NMFM | 137155 | 01 |
| IN | 201009490 | 05 | |
| KY | ANTHEM-NMFM | 000000772805 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659766970 | Jennifer Cena Willis | Registered Nurse | 6389 Marbella Ln, Eastvale, CA 91752-7313 | 2015-04-02 |
| 1023368081 | Jennifer Ray Willis | Social Worker | 700 Lampton Ln, Mcalester, OK 74501-7028 | 2012-09-17 |
| 1124306543 | Jennifer Willis | Contractor | 6060 N Central Expy Ste 500, Dallas, TX 75206-5209 | 2011-08-02 |
| 1104864255 | Jennifer Beth Willis | Social Worker | 2103 Golf Course Road Se, Suite A, Rio Rancho, NM 87124-2071 | 2006-06-02 |
| 1427043983 | Jennifer Tricia Willis | Nurse Anesthetist, Certified Registered | 2608 Crest Valley Drive, Conyers, GA 30094 | 2005-09-12 |
| 1841815453 | Jennifer Willis | Pharmacist | 2400 Mountain Dr Ste 104, Hoover, AL 35226-1569 | 2020-06-09 |
| 1982249199 | Jennifer Willis | Massage Therapist | 5 Morgan Hwy Ste 4, Scranton, PA 18508-2641 | 2019-11-12 |
| 1598268724 | Jennifer Stewart Willis | Counselor | 3840 Hulen St, Fort Worth, TX 76107-7277 | 2018-03-14 |
| 1356859847 | Jennifer Willis | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-18 |
| 1831578277 | Jennifer Willis | Physical Therapy Assistant | 1 Donham Plz Fl 4, Middletown, OH 45042-1932 | 2015-05-19 |
| Street Address |
601 S FLOYD ST STE 700 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770628794 | Kendal Kay Stephens | Obstetrics & Gynecology | 601 S Floyd St Ste 700, Louisville, KY 40202-1845 | 2007-02-20 |
| 1386959997 | Alison Gail Bailey | Nurse Practitioner | 601 S Floyd St Ste 700, Louisville, KY 40202-1845 | 2010-08-09 |
| 1912225665 | Jamil Taha El-farra | Obstetrics & Gynecology | 601 S Floyd St Ste 700, Louisville, KY 40202-1845 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1578192274 | Brian W Oliver | Nurse Practitioner | 309 Iola Rd, Louisville, KY 40207-2917 | 2020-04-04 |
| 1942835624 | Rebecca Spicer | Nurse Practitioner | 9805 Scarborough Ave, Louisville, KY 40272-2436 | 2020-03-03 |
| 1487288262 | Centerpointe Health LLC | Nurse Practitioner | 10100 Linn Station Rd, Louisville, KY 40223-3861 | 2020-03-02 |
| 1750914438 | Robin Elizabeth Masters | Nurse Practitioner | 2011 Lake Point Way Ste 202, Louisville, KY 40223-4229 | 2020-02-20 |
| 1629608286 | Meagan Molestina | Nurse Practitioner | 411 E Chestnut St # 4b6b, Louisville, KY 40202-1713 | 2020-01-23 |
| 1255971131 | Casey Lynn Potter | Nurse Practitioner | 411 Eaat Chestnut Street, Level 5a, Louisville, KY 40202-1713 | 2020-01-08 |
| 1487292033 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 | 2019-12-13 |
| 1548803273 | Jessica L Withrow | Nurse Practitioner | 1900 Bluegrass Ave Ste 103, Louisville, KY 40215-1144 | 2019-10-25 |
| 1629627773 | Latonya Renee Banks | Nurse Practitioner | 2210 Buechel Avenue, Suite 105, Louisville, KY 40218-2619 | 2019-09-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.