LESTER JAMES WILLIS (NPI# 1306482344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306482344 |
Entity Type | Individual |
Full Name | LESTER JAMES WILLIS |
Credential | DNP, PMHNP-BC |
Practice Address |
10333 El Camino Real Atascadero CA 93422-5808 |
Practice Telephone | 8054682000 |
Enumeration Date | 2019-11-25 |
Last Update Date | 2019-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95011983 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10333 EL CAMINO REAL |
City | ATASCADERO |
State | CA |
Zip Code | 93422-5808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578565628 | Olga A Yahontova | Psychiatry & Neurology | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2005-06-01 |
1699385294 | Kathleen Trotta | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2020-08-07 |
1346875960 | Elizabeth Ann Schmidt | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2020-03-04 |
1811521578 | Maria Lourdes Maningding Martinez | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2020-03-02 |
1154968907 | Kacee M Stagg | Dietitian, Registered | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2019-11-27 |
1053968552 | Michael Bormacoff Jr. | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2019-08-20 |
1649826264 | Jacek Cieply | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2019-08-11 |
1164991220 | David Pyo | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2018-11-19 |
1407324387 | Travis Mcgee | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2018-11-08 |
1881178440 | Christopher Allen Webb | Psychologist | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2018-09-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
Find all providers in zip 93422 |
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 |
---|---|---|---|---|
1235574054 | Dorothy Marie Orlando | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2013-05-07 |
1003016841 | Gizella Maria Raymond | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2007-07-19 |
1841411022 | Phillip Eugene Kerce | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93423-7001 | 2007-05-02 |
1881629749 | Dawn Ellen Santos | Nurse Practitioner | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2006-07-11 |
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1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
City | ATASCADERO |
Zip Code | 93422 |
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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.