KIMBERLY WILLIS (NPI# 1255692729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255692729 |
| Entity Type | Individual |
| Full Name | KIMBERLY WILLIS |
| Practice Address |
2004 Rhode Island Ave Ne Suite 400 Washington DC 20018 |
| Mailing Address |
2004 Rhode Island Ave Ne Suite 400 Washington DC 20018-2835 |
| Practice Telephone | 2025586084 |
| Mailing Telephone | 2025586084 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | HHA4007 | DC | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756826 | Kimberly Willis | Technician | 714 Jefferson Street, Bancroft, WV 25011 | 2018-07-11 |
| 1992201115 | Kimberly Nichelle Willis | Rehabilitation Practitioner | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2018-04-05 |
| 1629581251 | Kimberly A Willis | Counselor | 101 Dehler Dr, Sartell, MN 56377-4407 | 2017-11-06 |
| 1104279785 | Kimberly Renee Willis | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2016-07-19 |
| 1275925794 | Kimberly Willis | Nurse Practitioner | 700 W Market St, Athens, AL 35611-2457 | 2015-02-19 |
| 1568898393 | Kimberly Yvette Willis | Social Worker | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2013-09-25 |
| 1275869125 | Kimberly Deborah Willis | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2009-10-28 |
| 1164601514 | Kimberly Y Willis | Nurse Practitioner | 51 Performance Dr, Weymouth, MA 02189-3104 | 2007-11-01 |
| 1992990923 | Kimberly Renee Willis | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-09-12 |
| 1487852562 | Kimberly Rachelle Willis | Family Medicine | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2007-07-10 |
| Street Address |
2004 RHODE ISLAND AVE NE SUITE 400 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194972398 | American Health and Medical Supply Services LLC | Durable Medical Equipment & Medical Supplies | 2004 Rhode Island Ave Ne, Suite# 200, Washington, DC 20018-2835 | 2008-08-19 |
| 1609237429 | Annette Nguekeu Djoumessi Sr. | Home Health Aide | 2004 Rhode Island Ave Ne, Washington, DC 20018-2835 | 2016-03-08 |
| 1649533340 | Mascaline Ngu | Licensed Practical Nurse | 2004 Rhode Island Ave Ne, Suite 400, Washington, DC 20018-2835 | 2012-06-19 |
| 1548522733 | Ashley Henderson | Home Health Aide | 2004 Rhode Island Ave Ne, Washington, DC 20018-2835 | 2012-06-13 |
| 1982966164 | Kidest Bekele | Home Health Aide | 2004 Rhode Island Ave Ne, Suite 400, Washington, DC 20018-2835 | 2012-06-13 |
| 1942562137 | Annita Chindo | Student in an Organized Health Care Education/Training Program | 2004 Rhode Island Ave Ne, Washington, DC 20018-2835 | 2012-06-13 |
| 1700148996 | Elizabeth Esapa | Home Health Aide | 2004 Rhode Island Ave Ne, Suite 400, Washington, DC 20018-2835 | 2012-06-13 |
| 1215299730 | Toneal Johnson | Student in an Organized Health Care Education/Training Program | 2004 Rhode Island Ave Ne, Suite 400, Washington, DC 20018-2835 | 2012-06-11 |
| 1619238565 | Hirut Hailemriam | Home Health Aide | 2004 Rhode Island Ave Ne, Suite 400, Washington, DC 20018-2835 | 2012-06-06 |
| 1407117351 | Mary Wright | Home Health Aide | 2004 Rhode Island Ave Ne, Suite 400, Washington, DC 20018-2835 | 2012-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438712 | Veronica Anita Rose | Technician | 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 | 2020-08-17 |
| 1851910293 | Justina Christina Okougbo | Nurse Practitioner | 1242 12th St Ne Washington D.c., Washington, DC 20018 | 2020-04-15 |
| 1821629304 | Claire Cinque | Physical Therapy Assistant | 2601 18th Street Nw, Washington, DC 20018 | 2020-02-03 |
| 1669025474 | Chase Associates, LLC | Community/Behavioral Health | 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 | 2019-07-20 |
| 1407328446 | Howard Mabry | Psychologist | 2218 Rhode Island Avenue, Washington, DC 20018 | 2018-12-31 |
| 1760968697 | Velma Enjie Tebo | Home Health Aide | 1511 Franklin St Ne Apt 510, Washington, DC 20018 | 2018-07-13 |
| 1346744141 | Jacques Vanel Siewe Mbouwe | Home Health Aide | 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 | 2018-03-19 |
| 1376050658 | Marlena Hunt | Technician | 2504 10th St. Ne, Apt 404, Washington, DC 20018 | 2018-01-08 |
| 1245745926 | Mirabel Timben Mbah | Home Health Aide | 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 | 2017-12-04 |
| 1356855332 | St Judes Dental Clinic | Dentist | 2802 Rhode Island Ave Ne # 1, Washington, DC 20018 | 2017-11-28 |
| Find all providers in zip 20018 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285155 | Dionne L Giles-dicks | Home Health Aide | 610 Allison St Ne, Washington, DC 20017-2213 | 2020-11-03 |
| 1710588256 | Sharita C. Slayton | Home Health Aide | 918 42nd St Ne, Washington, DC 20019-1932 | 2020-11-02 |
| 1407456445 | Beverly Day | Home Health Aide | 900 G St Ne Apt 424, Washington, DC 20002-7414 | 2020-10-29 |
| 1861091449 | John Williams | Home Health Aide | 2852 23rd Pl Se Apt 304, Washington, DC 20020-7961 | 2020-10-23 |
| 1154920700 | Montina Holland | Home Health Aide | 2906 Naylor Rd Se Apt A153, Washington, DC 20020-2646 | 2020-10-23 |
| 1568061554 | Hassie Leon Merritt | Home Health Aide | 2515 Alabama Ave Se Apt 214, Washington, DC 20020-3240 | 2020-10-20 |
| 1891393476 | Tyrone Lewis | Home Health Aide | 325 P St Sw, Washington, DC 20024-2910 | 2020-10-15 |
| 1255939823 | Gary Anthony Dugger | Home Health Aide | 1357 Spring Rd Nw, Washington, DC 20010-1324 | 2020-10-15 |
| 1760080311 | Mercedes Virginia Horsey | Home Health Aide | 531 G St Sw Apt 102, Washington, DC 20024-2748 | 2020-10-15 |
| 1720686694 | Joy Mpode Nkede | Home Health Aide | 2012 12th Street Se, G35, Washington, DC 20003 | 2020-10-13 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
Please comment or provide details below to improve the information on KIMBERLY 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.