DIANE JANICE WILLIS (NPI# 1306016118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306016118 |
| Entity Type | Individual |
| Full Name | DIANE JANICE WILLIS |
| Credential | PHD |
| Practice Address |
4520 Ridgeline Dr Norman OK 73072-1729 |
| Practice Telephone | 4053649091 |
| Mailing Telephone | 4053649091 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
164 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1202405 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144857343 | Diane Therese Willis | Massage Therapist | 580 Foxtail Dr Apt 101, Pewaukee, WI 53072-2492 | 2020-03-26 |
| 1801937271 | Diane Willis | Psychologist | 82 Marlborough St, Boston, MA 02116-2020 | 2007-02-09 |
| Street Address |
4520 RIDGELINE DR |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111082 | Suzanne Huffman | Psychologist | 601 Vista Ln Trlr 88, Edmond, OK 73034-6329 | 2016-01-12 |
| 1790157394 | Jennifer Lucas Brusich | Psychologist | 5212 E 69th Pl, Tulsa, OK 74136-3407 | 2015-10-22 |
| 1144611336 | Kelly Davis | Psychologist | 9525 S 93rd East Ave, Tulsa, OK 74133-6160 | 2015-02-10 |
| 1558797589 | Blanca A Correa | Psychologist | 344139 E 740 Rd, Agra, OK 74824-8434 | 2013-09-23 |
| 1932546520 | Christina Dawn Willey | Psychologist | 8221 N 117th East Ave, Owasso, OK 74055-2603 | 2013-05-23 |
| 1841423845 | Anne Katherine Jacobs | Psychologist | 515 S Santa Fe Ave, Suite 106, Edmond, OK 73003-6210 | 2009-08-25 |
| 1821199217 | Marguerita Lynn Cagle | Psychologist | 10901 E 76th St N, Owasso, OK 74055-3631 | 2006-09-26 |
| 1003856741 | Kelly J Griffith | Psychologist | 1024 W Lakeridge Ave, Stillwater, OK 74075-2106 | 2006-06-08 |
| 1063056737 | Daniel Lawrence Gering | Psychologist | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2019-11-05 |
| 1639645708 | Elena M. Doskey | Psychologist | 1100 Ne 13th St, Oklahoma City, OK 73117-1039 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
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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.