HEATHER MARIE WILLIS (NPI# 1215284096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215284096 |
| Entity Type | Individual |
| Full Name | HEATHER MARIE WILLIS |
| Credential | MPAP, PA-C |
| Practice Address |
84 Santa Rosa St Suite A San Luis Obispo CA 93405-5816 |
| Mailing Address |
84 Santa Rosa St Ste A San Luis Obispo CA 93405-1812 |
| Practice Telephone | 8055914727 |
| Practice Fax Number | 8054393394 |
| Mailing Telephone | 8055914272 |
| Mailing Fax Number | 8054393394 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA21679 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467825570 | Heather Willis | Day Training/Habilitation Specialist | 311 Charleston Dr Lot 17, Cave City, AR 72521-8847 | 2015-11-11 |
| 1235383381 | Heather Lynn Willis | Urology | 1202 North Center Street, Hickory, NC 28601-3760 | 2008-11-14 |
| 1528626934 | Heather Willis | Pharmacist | 1160 S Belmont Ave, Okmulgee, OK 74447-6308 | 2019-05-31 |
| 1700347424 | Heather Bersaluna Willis | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-03-26 |
| 1013467281 | Heather Lynette Willis | Counselor | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2016-10-11 |
| 1437403292 | Heather L Willis | Counselor | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 | 2012-11-01 |
| 1619121944 | Heather Nicole Willis | Psychologist | Blanchfield Army Community Hospital, 650 Joel Dr, Ft Campbell, KY 42223-5318 | 2008-11-13 |
| 1841475159 | Heather Ann Willis | Dentist | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2008-01-04 |
| Street Address |
84 SANTA ROSA ST SUITE A |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477637783 | Anthony Michael Wolfe | Internal Medicine | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-1812 | 2006-10-24 |
| 1215442991 | Soquel Schafer | Family Medicine | 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 | 2017-12-04 |
| 1831631001 | Primary Care Partners - Slo, P.C. | Clinic/Center | 84 Santa Rosa St, A, San Luis Obispo, CA 93405-1812 | 2016-11-04 |
| 1104121680 | Leah M Tanner | Dietitian, Registered | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-1812 | 2011-01-14 |
| 1962706994 | Mandy R.c. Gailey | Dietitian, Registered | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-1812 | 2011-01-05 |
| 1851616106 | Andrea Angelucci | Family Medicine | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 | 2010-03-30 |
| 1861676553 | Suzanne Elizabeth Bakke | Physician Assistant | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 | 2007-12-18 |
| 1437361771 | Paul Stephen Collins | Dermatology | 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 | 2007-05-07 |
| 1215150040 | Barbara Lisa Defirmian | Family Medicine | 84 Santa Rosa St, Ste A, San Luis Obispo, CA 93405-1812 | 2007-04-10 |
| 1306960240 | Dermatologic Plastic Surgery Clinics of Ca | Specialist | 84 Santa Rosa St, San Luis Obispo, CA 93405-1812 | 2007-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1033684774 | Taryn Alexandra Pearl | Physician Assistant | 892 Aerovista Pl, Suite 130, San Luis Obispo, CA 93401-8054 | 2018-10-09 |
| 1457864597 | Peter George May | Physician Assistant | 2365 Sunset Dr, San Luis Obispo, CA 93401-4651 | 2017-11-12 |
| 1003364191 | Taylor Suzanne Wahl | Physician Assistant | 1235 Osos St # 100, San Luis Obispo, CA 93401-3619 | 2016-09-16 |
| 1649423542 | Jarred Dewayne Minefee | Physician Assistant | 283 Madonna Road, Suite B, San Luis Obispo, CA 93405 | 2008-10-23 |
| 1558475699 | Mark Mason Haley | Physician Assistant | One Grand Ave, San Luis Obispo, CA 93407-0210 | 2006-08-18 |
| 1902873748 | Mark J Hollis | Physician Assistant | 15 Santa Rosa Street, San Luis Obispo, CA 93405-1811 | 2006-03-01 |
| 1235116955 | Julia Elizabeth Davison | Physician Assistant | 1551 Bishop St Ste A150, San Luis Obispo, CA 93401-4635 | 2005-12-22 |
| 1083197354 | Natalie Matenaer | Physician Assistant | 990 Pacific St, San Luis Obispo, CA 93401-6309 | 2018-09-12 |
| 1922589548 | Jessy Mackenzie Arthurs | Physician Assistant | 1235 Osos St Ste 100, San Luis Obispo, CA 93401-3619 | 2018-08-22 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on HEATHER MARIE 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.