KATHRYN WILLIS (NPI# 1598199127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598199127 |
| Entity Type | Individual |
| Full Name | KATHRYN WILLIS |
| Practice Address |
3300 James Street Suite 201 Syracuse NY 13206-2392 |
| Practice Telephone | 3154374500 |
| Practice Fax Number | 3154371632 |
| Mailing Telephone | 3154374500 |
| Mailing Fax Number | 3154371632 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 10-277595 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249474 | Kathryn Sue Willis | Technician | 3316 Percentum Rd Apt 311, Toledo, OH 43617-2141 | 2020-09-14 |
| 1013432848 | Kathryn Willis | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2017-08-14 |
| 1093000721 | Kathryn Owen Willis | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2011-06-10 |
| 1558519074 | Kathryn Marie Willis | Pharmacist | 2250 Hickory Rd, 240, Plymouth Meeting, PA 19462-1047 | 2008-09-09 |
| Street Address |
3300 JAMES STREET SUITE 201 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13206-2392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740628569 | Kennicha Jamison | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2013-06-14 |
| 1003445172 | Britney Parente | Social Worker | 3300 James Street, Syracuse, NY 13206 | 2020-04-02 |
| 1144618653 | Edward Blancett | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206 | 2015-01-06 |
| 1902211527 | Therese Boehm | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2014-06-23 |
| 1730591793 | Donna Austin | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2014-05-27 |
| 1891105672 | Darlene Krawetz | Licensed Practical Nurse | 3300 James Street, Syracuse, NY 13206-2392 | 2014-05-02 |
| 1114347432 | Trisha Blann | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2014-04-25 |
| 1467872861 | Laurie Davis | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2014-04-24 |
| 1225456536 | Samantha Harris | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2014-04-03 |
| 1235550724 | Marquita Davis | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2013-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336248 | Amanda E Vadala | Dietitian, Registered | 216 Conklin Ave, Syracuse, NY 13206 | 2020-08-12 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1821583436 | Jacqueline Amanda Weiner | Marriage & Family Therapist | 3532 James Street, Syracuse, NY 13206 | 2018-06-26 |
| 1447767025 | Reality Awareness Outreach Inc | Peer Specialist | 117 S Collingwood Ave, Syracuse, NY 13206 | 2018-01-04 |
| 1790296325 | Rachel Segrue | Registered Nurse | 420 Ridgewood Dt, Syracuse, NY 13206 | 2017-10-23 |
| 1013391754 | Iva Kay Peterson | Registered Nurse | 308 Nichols Ave, Syracuse, NY 13206 | 2015-07-13 |
| 1730433673 | April Hanson | Licensed Vocational Nurse | 157 South Midler Ave, Syracuse, NY 13206 | 2012-10-30 |
| 1669722237 | Kimberly Tortorici | Specialist | 1951 Caleb Avenue, Syracuse, NY 13206 | 2012-09-11 |
| 1669769394 | Janiqua M Davis | Licensed Practical Nurse | 158 Lynwood Ave, Apt. 1, Syracuse, NY 13206 | 2011-07-01 |
| 1871886960 | Gina Tornatore | Pharmacist | 1820 Teall Ave., Syracuse, NY 13206 | 2011-05-23 |
| Find all providers in zip 13206 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927848 | Gwendolyn Jane Thomas | Licensed Practical Nurse | 139 Hayden Ave, Syracuse, NY 13204-1509 | 2020-09-17 |
| 1780200758 | Stacey R Green | Licensed Practical Nurse | 707 Meadowbrook Dr, Syracuse, NY 13210-3113 | 2020-06-24 |
| 1033743539 | Mindy Joy Cottrell | Licensed Practical Nurse | 515 Florida Rd, Syracuse, NY 13211-1220 | 2020-02-24 |
| 1205474772 | Mary Kresser | Licensed Practical Nurse | 214 Lafayette Rd, Syracuse, NY 13205-2921 | 2019-12-16 |
| 1528602166 | Rebecca Anne Snyder | Licensed Practical Nurse | 510 Greenwood Pl, Syracuse, NY 13210-2526 | 2019-11-06 |
| 1386286094 | Wendolyn Alicia White | Licensed Practical Nurse | 304 Martin Luther King W, Syracuse, NY 13205-1023 | 2019-10-14 |
| 1609423516 | Kortia Poole | Licensed Practical Nurse | 4574 Onondaga Blvd Apt 38, Syracuse, NY 13219-3308 | 2019-08-25 |
| 1649822826 | Tyrone Lamont Hunter | Licensed Practical Nurse | 620 Erie Blvd W Ste 620erie, Syracuse, NY 13204-2445 | 2019-07-09 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| Find all providers in SYRACUSE | ||||
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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.