WANDA F. WILLIS (NPI# 1174770457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174770457 |
| Entity Type | Individual |
| Full Name | WANDA F. WILLIS |
| Practice Address |
1400 N A St Sacramento CA 95811-0612 |
| Practice Telephone | 9164401500 |
| Mailing Telephone | 9164401500 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
16993 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366767501 | Wanda Yvette Willis | Nurse Practitioner | 7610 Carroll Avenue, Suite 480, Takoma Park, MD 20912 | 2010-03-31 |
| 1245412097 | Wanda Jeanette Willis | Counselor | 1202 Old Murphy Rd, Macon County Schools, Franklin, NC 28734-9111 | 2007-12-04 |
| Street Address |
1400 N A ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95811-0612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467735969 | Leah Barros | Student in an Organized Health Care Education/Training Program | 1400 N A St, Building A, Sacramento, CA 95811-0612 | 2011-09-21 |
| 1932417474 | Tyler William Pehlke | Student in an Organized Health Care Education/Training Program | 1400 N A St, Building A, Sacramento, CA 95811-0612 | 2010-09-17 |
| 1912220740 | Swami Hariharananda | Counselor | 1400 N A St, Bldg. A, Sacramento, CA 95811-0612 | 2010-03-08 |
| 1164755906 | Patricia L Gonzalez | Counselor | 1400 N A St, Sacramento, CA 95811-0612 | 2009-09-11 |
| 1750511390 | Pamela Gail Catts | Case Manager/Care Coordinator | 1400 N A St, Sacramento, CA 95811-0612 | 2009-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891190 | Teresa Sy | Behavior Technician | 610 Bercut Dr. Suite B, Sacramento, CA 95811 | 2018-12-03 |
| 1669948212 | Micaela Badue | Counselor | 401 S St., Sacramento, CA 95811 | 2018-10-22 |
| 1669956801 | Andrea Martinez | Counselor | 600 Bercut Dr., Sacramento, CA 95811 | 2018-09-24 |
| 1174000855 | Clinicians Connect Care Home Health & Hospice Services | Home Health | 716 19th Street, Suite 200, Sacramento, CA 95811 | 2018-07-25 |
| 1992202345 | Benjamin James Leibold | Behavior Technician | 610 Bercut Drive, Suite B, Sacramento, CA 95811 | 2018-04-11 |
| 1669979233 | Aja Jones | Counselor | 401 S Street, Sacramento, CA 95811 | 2018-04-10 |
| 1821511916 | Lucas John Monaco | Counselor | 1400 North 'a' Street, Bldg A, Sacramento, CA 95811 | 2017-07-20 |
| 1275089963 | Sergio Vicuna, D.d.s., Inc | Dentist | 1804 19th St, Suite 100, Sacramento, CA 95811 | 2016-09-01 |
| 1386057495 | Chelsea Turner | Counselor | 600 Bercut Drive, Sacramento, CA 95811 | 2014-06-05 |
| 1427473636 | Sidney Caldwell | Counselor | 401 S Street Sacramento, Sacramento, CA 95811 | 2014-02-25 |
| Find all providers in zip 95811 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841571015 | Jody Pauwels | Nurse Practitioner | 3810 Rosin Ct Ste 100, Sacramento, CA 95834-1657 | 2011-09-01 |
| 1801118526 | Thao Phuong Tran | Nurse Practitioner | 100 Howe Ave Ste 220n, Sacramento, CA 95825-8221 | 2010-02-22 |
| 1467074328 | Francis Okodogbe | Nurse Practitioner | 2951 Fulton Ave, Sacramento, CA 95821-4909 | 2020-05-14 |
| 1831720069 | Rhea Singson Tapang | Nurse Practitioner | 350 University Ave Ste 101, Sacramento, CA 95825-6516 | 2020-01-27 |
| 1407345606 | Erica Dominga Castro | Nurse Practitioner | 401 S St, Sacramento, CA 95811-6919 | 2018-05-03 |
| 1609391713 | Ann Marie Borys | Nurse Practitioner | 2825 Capitol Ave, Sacramento, CA 95816-6039 | 2017-08-09 |
| 1003364514 | Michael Thomas Fabian | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2016-09-13 |
| 1568841435 | Brenda Burnett | Nurse Practitioner | 4250 Auburn Blvd, Sacramento, CA 95841-4100 | 2015-05-26 |
| 1104192822 | Timothy Walsh Jones | Nurse Practitioner | 7700 Folsom Blvd, Sacramento, CA 95826-2608 | 2012-03-27 |
| 1508919697 | Sadie Betito | Nurse Practitioner | 2951 Fulton Ave, Sacramento, CA 95821-4909 | 2007-01-19 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95811 |
Please comment or provide details below to improve the information on WANDA F. WILLIS.
| 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.