DR. KATHERINE L WILLIS (NPI# 1326009242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326009242 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE L WILLIS |
| Other Name | DR. K LEE WILLIS |
| Credential | PHD |
| Practice Address |
313 Steephill St Charlottesville VA 22902-5853 |
| Practice Telephone | 4342939820 |
| Mailing Telephone | 4342939820 |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0810003307 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447440 | Katherine Willis | Registered Nurse | 72031 Sarah Ln, Clatskanie, OR 97016-2632 | 2018-08-20 |
| 1326441353 | Katherine Marie Willis | Physician Assistant | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2014-10-05 |
| 1649560939 | Katherine Brooke Willis | Acupuncturist | 426 Nw 4th St, Corvallis, OR 97330 | 2011-04-08 |
| 1710201397 | Katherine Willis | Nurse Practitioner | 1021 Morehead Medical Dr, Suite A, Charlotte, NC 28204-2990 | 2010-03-25 |
| Street Address |
313 STEEPHILL ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821396920 | James Forrest Sanders | Clinical Neuropsychologist | 1960 Lewis Mountain Rd, Unit 1, Charlottesville, VA 22903-2463 | 2011-03-14 |
| 1427124825 | Victoria Pezzullo Tate | Clinical Neuropsychologist | 420 Third St Ne, Charlottesville, VA 22901 | 2006-11-28 |
| 1700825239 | Matthew Williams Bowen | Clinical Neuropsychologist | 6 Old Farm Rd, Charlottesville, VA 22903-4722 | 2006-06-06 |
| 1063918530 | Stephanie L Lenox | Clinical Neuropsychologist | 1215 Lee St, Charlottesville, VA 22908-0816 | 2018-04-03 |
| 1285000315 | Joyce Suh | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-1534 | 2015-08-12 |
| 1063811487 | Laurie Brenner | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-0001 | 2014-08-21 |
| 1962794685 | Lauren Ashley Chandler | Clinical Neuropsychologist | 1215 Lee St, Box 800394, Charlottesville, VA 22908-0816 | 2011-05-13 |
| 1790819910 | Donna K. Broshek | Clinical Neuropsychologist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2007-03-16 |
| 1992839534 | Jeffrey T. Barth | Clinical Neuropsychologist | Uva Hospital W, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1174692792 | Kathleen L. Fuchs | Clinical Neuropsychologist | 1221 Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
Please comment or provide details below to improve the information on DR. KATHERINE L 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.