LUKISHA DOMALLY WILLETT (NPI# 1437357159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437357159 |
| Entity Type | Individual |
| Full Name | LUKISHA DOMALLY WILLETT |
| Other Name | LUKISHA DOMALLY |
| Credential | P.A. |
| Practice Address |
155 Louetta Crossing Spring TX 77373 |
| Mailing Address |
22311 E Daniel Oak Cir Spring TX 77389-4017 |
| Practice Telephone | 2815280278 |
| Mailing Telephone | 2813233568 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05258 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
155 LOUETTA CROSSING |
| City | SPRING |
| State | TX |
| Zip Code | 77373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710937552 | Rosemarie Guzman | Physician Assistant | 155 Louetta Crossing, Spring, TX 77373 | 2006-05-11 |
| 1023318904 | Deidra D Williams | Nurse Practitioner | 155 Louetta Crossing, Spring, TX 77373-3007 | 2010-10-26 |
| 1912154600 | C H Wilkinson Physician Network | Nurse Practitioner | 155 Louetta Crossing, Spring, TX 77373-3007 | 2008-08-25 |
| 1164438867 | Norman G Lapell | Nurse Practitioner | 155 Louetta Crossing, Spring, TX 77373-3007 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030664 | Patricia Dian Gonzalez | Counselor | 823 Liberty Springs Way, Spring, TX 77373 | 2019-06-04 |
| 1477025237 | 2020 Vision, Pllc | Optometrist | 25640 Kuykendahl Rd, Suite H, Spring, TX 77373 | 2018-12-18 |
| 1275014425 | Tamara Allen | Registered Nurse | 23442 Azalea Hill Trail, Spring, TX 77373 | 2018-08-26 |
| 1194233965 | Next Level Mv LLC | Clinic/Center | 25750 Kuykendahl Rd, Ste A, Spring, TX 77373 | 2018-01-16 |
| 1164935359 | Stephanie Gotcher | Obstetrics & Gynecology | 19740 I- 45 North, Spring, TX 77373 | 2017-11-09 |
| 1003338930 | Honor and Peace Assisted Living Pllc | Nursing Care | 25710 Long Hill Lane, Spring, TX 77373 | 2017-07-12 |
| 1053854539 | Northside Surgical Assistants | Specialist/Technologist, Other | 24506 Fort Path Dr, Spring, TX 77373 | 2016-11-30 |
| 1376926279 | Hklp,pllc | Dentist | 19380 I-45, Suite #110, Spring, TX 77373 | 2015-07-09 |
| 1316339062 | Beyond Eye Care Pllc | Preferred Provider Organization | 25510 Buffalo Springs Ct, Spring, TX 77373 | 2015-03-04 |
| 1386059814 | Britton Legacy Enterprises, Inc | Home Health | 26029 Aldine Westfield Rd Ste 206, Spring, TX 77373 | 2014-06-23 |
| Find all providers in zip 77373 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275194151 | Tieme Rocha Grimalt Soares | Physician Assistant | 9723 Blue Cruls Way, Spring, TX 77379-3769 | 2019-06-22 |
| 1154865384 | Brookelyn Annette Johnson | Physician Assistant | 1104 Rayford Rd Ste 500, Spring, TX 77386-2621 | 2016-12-07 |
| 1083084503 | Safrin R Ali | Physician Assistant | 3550 Rayford Rd, Spring, TX 77386 | 2015-09-26 |
| 1245573211 | Patrice M Pompey | Physician Assistant | 25329 Interstate 45, Spring, TX 77380-3438 | 2013-03-28 |
| 1255687497 | Oluwaseun Akeredolu | Physician Assistant | 22219 Bridgestone Oak Dr, Spring, TX 77388-3534 | 2012-07-25 |
| 1073820072 | John Charles Davis Sr. | Physician Assistant | 4003 Alshire Dr, Spring, TX 77373-8811 | 2010-09-12 |
| 1720319486 | Heather Michelle Christian | Physician Assistant | 3850 Fm 2920 Rd, Spring, TX 77388-4123 | 2010-01-20 |
| 1548455280 | Denise K Hixon | Physician Assistant | 21301 Kuykendahl Rd Ste J, Spring, TX 77379-2614 | 2007-09-06 |
| 1528193455 | Emile Delano Kettle Sr. | Physician Assistant | 440 Rayford Rd, Suite 125, Spring, TX 77386-4168 | 2007-02-22 |
| 1578636726 | Kristi D Ortiz | Physician Assistant | 1222 Berwick Manor Ct, Spring, TX 77379-3046 | 2006-11-16 |
| Find all providers in SPRING | ||||
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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.