MISTY LYNN WILLIS


Address: 556 Clinton Ave S, Rochester, NY 14620-1105
Phone: 5854428422

MISTY LYNN WILLIS (NPI# 1437499290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437499290
Entity Type Individual
Full Name MISTY LYNN WILLIS
Credential FNP
Practice Address 556 Clinton Ave S
Rochester
NY 14620-1105
Mailing Address 9827 Tobermory Ave
Clarence
NY 14031-2509
Practice Telephone 5854428422
Enumeration Date 2013-02-15
Last Update Date 2020-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
337781 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
34 Benwood Ave, Buffalo, NY 142141761 7169869199
556 Clinton Ave S, Rochester, NY 146201105 5854428422

Other Providers MISTY WILLIS

NPI Name Taxonomy Address Enumeration
1538714050 Misty Lyon Willis Nurse Practitioner 8300 Old Mcgregor Rd Ste 2a, Woodway, TX 76712-3600 2019-08-02
1053645697 Misty Faulk Willis Nurse Practitioner 312 Westside Drive, Douglas, GA 31533 2009-09-30
1942473053 Misty Lynn Willis Nurse Practitioner 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 2008-04-09

Office Location

Street Address 556 CLINTON AVE S
City ROCHESTER
State NY
Zip Code 14620-1105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235185612 Conifer Park, Inc. Clinic/Center 556 Clinton Ave S, Rochester, NY 14620-1105 2006-05-26
1861010662 Leah Newman Counselor 556 Clinton Ave S, Rochester, NY 14620-1105 2020-07-08
1356974497 Lisa Giglia Counselor 556 Clinton Ave S, Rochester, NY 14620-1105 2020-02-18
1538704788 Timothy Stevens Counselor 556 Clinton Ave S, Rochester, NY 14620-1105 2019-11-12
1740831254 Eric Haines Counselor 556 Clinton Ave S, Rochester, NY 14620-1105 2019-09-25
1275091266 Jeannette Judith Sampson Registered Nurse 556 Clinton Ave S, Rochester, NY 14620-1105 2019-03-08
1427529585 Jeremy Patrick Thayer Counselor 556 Clinton Ave S, Rochester, NY 14620-1105 2018-12-16
1780155457 Nicole Renee Miller Counselor 556 Clinton Ave S, Rochester, NY 14620-1105 2018-12-06
1790278117 Margo Anne Tremaine Counselor 556 Clinton Ave S, Rochester, NY 14620-1105 2018-06-11
1982195186 Estelle Webster Registered Nurse 556 Clinton Ave S, Rochester, NY 14620-1105 2018-05-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974174 Linda D Pratt Speech-Language Pathologist Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 2020-02-20
1609417617 Maisie Katherine Pipher Physician Assistant 110 Crittenden Blvd, Rochester, NY 14620 2019-10-01
1215592332 Allison Mckeown Student in an Organized Health Care Education/Training Program 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 2019-05-03
1114495736 Tabitha Domonique Griffin Licensed Practical Nurse 55 Forthill Terrace, Rochester, NY 14620 2018-11-13
1700371960 Deborah Paul Dermatology 40 Celebration Dr # 697, Rochester, NY 14620 2018-06-28
1942725791 Emily Catone Nurse Practitioner 252 Cobb Terrace, Rochester, NY 14620 2017-08-12
1104355593 Acacia Palmer Counselor 150 Mount Hope Avenue, Rochester, NY 14620 2017-06-08
1750818803 Meagan Michelle Goates Student in an Organized Health Care Education/Training Program 150 Crittenden Blvd, Rochester, NY 14620 2017-05-20
1386170470 Kendall Battle Licensed Practical Nurse 479 South Ave Apt B, Rochester, NY 14620 2017-05-10
1285167700 Gina Josette Kuehn Student in an Organized Health Care Education/Training Program 40 Celebration Dr # 278733, Rochester, NY 14620 2017-04-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861091704 Morgan Rohl Nurse Practitioner 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 2020-10-21
1073111738 Melissa E Spencer Nurse Practitioner 1338 E Ridge Rd Ste 101, Rochester, NY 14621-2017 2020-10-15
1295345254 Kristin Colleen Fleming Nurse Practitioner 400 Red Creek Dr Ste 110, Rochester, NY 14623-4273 2020-08-05
1043820251 Michelle Katherine Hiczun Nurse Practitioner 20 Hagen Dr Ste 330, Rochester, NY 14625-2664 2020-08-03
1689296949 Suzanne Lee Bundrick Nurse Practitioner 1921 Westwood Ct Sw, Rochester, MN 55902-1170 2020-05-09
1649818931 Erin Elizabeth Akins Nurse Practitioner 1882 Winton Rd S Ste 3, Rochester, NY 14618-3950 2019-12-17
1912544107 Bethany Anderson Ganz Nurse Practitioner 115 16th Ave Nw, Rochester, MN 55901-0347 2019-12-06
1164068383 Christina Kosachook Nurse Practitioner 990 South Ave Ste 104, Rochester, NY 14620-2740 2019-11-22
1073159679 Avellina Ihuaku Okafor Nurse Practitioner 1328 Ridgeway Ave, Rochester, NY 14615-3716 2019-11-19
1053961409 Melissa Guu-shyuan Feng Nurse Practitioner 995 Senator Keating Blvd Ste 3100, Rochester, NY 14618-2778 2019-09-18
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Competitor

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City ROCHESTER
Zip Code 14620

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Dataset Information

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.

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