MARY E WILLIS (NPI# 1346499241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346499241 |
| Entity Type | Individual |
| Full Name | MARY E WILLIS |
| Credential | RN |
| Practice Address |
550 Pope Ave Fort Leavenworth KS 66027-2332 |
| Mailing Address |
502 3rd St Po Box 184 Winchester KS 66097-4152 |
| Practice Telephone | 9136846671 |
| Mailing Telephone | 9137742024 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
1378828-102 | KS | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677406 | Mary Grace Willis | Licensed Vocational Nurse | 232 County Road 2921, Alba, TX 75410-5830 | 2020-10-22 |
| 1477051449 | Mary E Willis | Nurse Practitioner | 10510 Jefferson Ave Ste E, Newport News, VA 23601-3102 | 2018-01-25 |
| 1417313263 | Mary Willis | Physical Therapy Assistant | 10077 Infinity Ln, Piqua, OH 45356-7512 | 2016-01-10 |
| 1700185964 | Mary Miranda Willis | Licensed Practical Nurse | 303 Rellim Dr, Kent, OH 44240-4531 | 2011-03-26 |
| 1083700652 | Mary Willis | Counselor | 4656 Brambleton Avenue, Roanoke, VA 24018 | 2006-10-04 |
| 1518504620 | Mary Judith Willis | Counselor | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2019-12-08 |
| 1831521269 | Mary Willis | Pharmacist | 3800 Se 22nd Ave, 04004/rds, Portland, OR 97202-2918 | 2013-08-08 |
| 1083992267 | Mary Kristine Willis | Physician Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2011-07-22 |
| 1811223324 | Mary Kay Willis | Specialist/Technologist | 1248 Austin Hwy, Suite 210, San Antonio, TX 78209-4821 | 2009-10-19 |
| 1710127626 | Mary E Willis | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| Street Address |
550 POPE AVE |
| City | FORT LEAVENWORTH |
| State | KS |
| Zip Code | 66027-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449316 | Jerry Lee Green Jr. | Nurse Practitioner | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027-2332 | 2005-07-06 |
| 1780283531 | Nicole Hazelton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-22 |
| 1437758687 | Drusilla Cox | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-10-20 |
| 1780216606 | Robin Michelle Collie | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2020-02-08 |
| 1285083162 | Courtney Spongberg | Physical Therapist | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2016-06-10 |
| 1992107627 | Munson Army Health Center | Clinic/Center | 550 Pope Ave, Bldg 343, Room 1a146, Fort Leavenworth, KS 66027-2332 | 2014-09-25 |
| 1609278118 | Denise Dennell Hinton | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2014-09-16 |
| 1730593567 | Munson Army Health Center | Military/U.S. Coast Guard Pharmacy | 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027-2332 | 2014-06-19 |
| 1588928758 | Susana Suyapa Guerrero | Social Worker | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-07-02 |
| 1194096271 | Jennifer Marlene Diggs | Licensed Practical Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2012-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376801019 | Sarah M. Galloway | Counselor | 32 Pick Ave, Fort Leavenworth, KS 66027 | 2012-05-01 |
| 1659566750 | Dong S Lee | Dentist | Us Army Dental Health Activity, 520 Pope Avenue, Fort Leavenworth, KS 66027 | 2007-09-11 |
| 1942354998 | Shaun Lydell Kanion | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
| 1063594158 | Ellen Henley Galloway | Psychologist | 1301 North Warehouse Rd, Usdb-dtp, Ft Leavenworth, KS 66027 | 2006-10-19 |
| 1083666770 | Mary Shancy Francis | Family Medicine | Munson Army Health Center 550 Pope Ave, Leavenworth, KS 66027 | 2006-05-17 |
| 1053601724 | Forest Tu Pavel | Counselor | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027 | 2011-04-14 |
| 1629242797 | Willy Clarkson Cornett | Registered Nurse | 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, KS 66027 | 2008-04-18 |
| 1356495394 | Kevin Michael Madjarac | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
| 1548468465 | Sara Anne Dame | Licensed Practical Nurse | 505 Pope, Ft. Leavenworth, KS 66027-0000 | 2007-07-03 |
| Find all providers in zip 66027 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861816357 | Passport Health | Clinic/Center | 8249 W 95th St., Overland Park, KS 66212 | 2014-02-05 |
| 1578776589 | County of Osage | Clinic/Center | 103 E 9th, Lyndon, KS 66451 | 2007-05-07 |
| 1952493421 | Southeast Kansas Multi-county Health Dept | Clinic/Center | 301 S. Vine, Garnett, KS 66032-1344 | 2006-09-29 |
| 1215029715 | Southeast Kansas Multi-county Health Dept | Clinic/Center | 524 S. Lowman, Fort Scott, KS 66701-2316 | 2006-09-29 |
| 1316039837 | Southeast Kansas Multi-county Health Dept. | Clinic/Center | 120 West Rutledge, Yates Center, KS 66783-1238 | 2006-09-29 |
| 1104918762 | Southeast Kansas Multi-county Health Dept | Clinic/Center | 411 North Washington Ave, Iola, KS 66749-2352 | 2006-09-29 |
| 1548372865 | County of Thomas | Clinic/Center | 350 S Range Ave Ste 2, Colby, KS 67701-2966 | 2006-08-31 |
| 1346261930 | Health Ministries Clinic, Inc | Clinic/Center | 209 South Pine Street, Newton, KS 67114-3745 | 2006-07-21 |
| 1164429148 | County of Clay | Clinic/Center | 820 Spellman Cir, Clay Center, KS 67432-7492 | 2005-07-05 |
| 1770057911 | County of Ellis | Clinic/Center | 2507 Canterbury Dr, Hays, KS 67601-2233 | 2019-01-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEAVENWORTH |
| Zip Code | 66027 |
Please comment or provide details below to improve the information on MARY E 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.