TERESA HALLEY WILLIS (NPI# 1053457176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053457176 |
| Entity Type | Individual |
| Full Name | TERESA HALLEY WILLIS |
| Credential | CRNA |
| Practice Address |
3421 Medical Park Dr Monroe LA 71203-2355 |
| Mailing Address |
240 Chapman Johnson Rd Calhoun LA 71225-8669 |
| Practice Telephone | 3183887890 |
| Mailing Telephone | 3185479400 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN031851 APO1344 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1900443 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952660805 | Teresa Mae Willis | Occupational Therapy Assistant | 881 Bifrost Way, Linden, VA 22642-5931 | 2012-05-14 |
| 1265587166 | Teresa Willis | Physician Assistant | 8608 Iron Gate Ct, Fort Worth, TX 76179-3024 | 2007-01-24 |
| 1124268974 | Teresa Jeann Willis | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2009-03-05 |
| Street Address |
3421 MEDICAL PARK DR |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396239224 | Kristen Coles Johnson | Nurse Practitioner | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2018-06-14 |
| 1871704312 | John Turpin | Psychiatry & Neurology | 3421 Medical Park Dr, St. Patrick's Mental Health Services, Monroe, LA 71203-2355 | 2007-05-25 |
| 1275652877 | Gary Wayne Lowder | Emergency Medicine | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2007-03-28 |
| 1851447411 | Frankie Travis Bell | Nurse Anesthetist, Certified Registered | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2007-01-26 |
| 1366504334 | St. Francis North Behavioral Health Unit | Psychiatric Unit | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-12-15 |
| 1124109061 | St. Francis Medical Center, Inc | Psychiatric Unit | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-10-18 |
| 1093817363 | Robert Mark Kerry | Emergency Medicine | 3421 Medical Park Dr, St Francis North Hospital, Monroe, LA 71211 | 2006-09-05 |
| 1346357308 | Cindy Fuller Dollar | General Acute Care Hospital | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-08-24 |
| 1407885791 | Inpatient Pediatric Services | Pediatrics | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-07-01 |
| 1699702761 | Mitra Marie Green | Pediatrics | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568340 | Complete Ketamine Inc | Nurse Anesthetist, Certified Registered | 98 Winchester St, Monroe, MI 48161-1957 | 2020-01-28 |
| 1710374012 | Jessica D Szydlowski | Nurse Anesthetist, Certified Registered | 1212 E Mombasha Rd, Monroe, NY 10950-5615 | 2015-04-24 |
| 1407151913 | Dustin Cole Broussard | Nurse Anesthetist, Certified Registered | 312 Grammont St Ste 100, Monroe, LA 71201-7457 | 2011-01-13 |
| 1255560009 | Christopher Michael Ward | Nurse Anesthetist, Certified Registered | 6713 Luther Ln, Monroe, NC 28112-8500 | 2009-07-14 |
| 1073701355 | Olga V. Halstead | Nurse Anesthetist, Certified Registered | 3980 W Albain Rd, Monroe, MI 48161-9555 | 2007-10-11 |
| 1184779431 | Marti Melinda Martin | Nurse Anesthetist, Certified Registered | 3421 Medical Park Dr., Monroe, LA 71203 | 2007-01-25 |
| 1346324670 | Delvin Joseph Price Jr. | Nurse Anesthetist, Certified Registered | 2229 Hwy139, Monroe, LA 71203-0614 | 2006-10-24 |
| 1144323726 | Heather Dianne Duty | Nurse Anesthetist, Certified Registered | 312 Grammont St Ste 101, Monroe, LA 71201-7403 | 2006-09-07 |
| 1508975517 | Brenda Rutledge-hilburn | Nurse Anesthetist, Certified Registered | 2108 Island Dr, Monroe, LA 71201-2521 | 2006-08-30 |
| 1699798611 | Scott Coddington | Nurse Anesthetist, Certified Registered | 5623 E Dunbar Rd, Monroe, MI 48161-9127 | 2006-07-25 |
| Find all providers in MONROE | ||||
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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.