MARY GRACE WILLIS (NPI# 1629677406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629677406 |
| Entity Type | Individual |
| Full Name | MARY GRACE WILLIS |
| Credential | LVN |
| Practice Address |
232 County Road 2921 Alba TX 75410-5830 |
| Practice Telephone | 8324126165 |
| Mailing Telephone | 8324126165 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 1010685 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1346499241 | Mary E Willis | Clinic/Center | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2008-09-16 |
| Street Address |
232 COUNTY ROAD 2921 |
| City | ALBA |
| State | TX |
| Zip Code | 75410-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699239418 | Charlotte Marrie Pickett | Nurse Practitioner | 6294 E St Hwy 69, Alba, TX 75410 | 2019-01-25 |
| 1508348202 | Lacy Swoape | Physical Medicine & Rehabilitation | 3002 Sfm 17, Alba, TX 75410 | 2018-08-30 |
| 1518476803 | Jean Carol Hickman | Respiratory Therapist, Registered | 1589 Cr 2954, Alba, TX 75410 | 2017-09-29 |
| 1528625787 | Kelly Ann Jewell-franken | Licensed Vocational Nurse | 9403 W Fm 515, Alba, TX 75410-2687 | 2019-05-23 |
| 1922616754 | Kaysi Shaye Covey | Registered Nurse | 455 County Road 1573, Alba, TX 75410-3955 | 2020-07-17 |
| 1558699132 | Amy Mariah Hayes | Behavioral Analyst | 675 County Road 2382, Alba, TX 75410-5005 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922616754 | Kaysi Shaye Covey | Registered Nurse | 455 County Road 1573, Alba, TX 75410-3955 | 2020-07-17 |
| 1528625787 | Kelly Ann Jewell-franken | Licensed Vocational Nurse | 9403 W Fm 515, Alba, TX 75410-2687 | 2019-05-23 |
| 1699239418 | Charlotte Marrie Pickett | Nurse Practitioner | 6294 E St Hwy 69, Alba, TX 75410 | 2019-01-25 |
| 1508348202 | Lacy Swoape | Physical Medicine & Rehabilitation | 3002 Sfm 17, Alba, TX 75410 | 2018-08-30 |
| 1518476803 | Jean Carol Hickman | Respiratory Therapist, Registered | 1589 Cr 2954, Alba, TX 75410 | 2017-09-29 |
| 1558699132 | Amy Mariah Hayes | Behavioral Analyst | 675 County Road 2382, Alba, TX 75410-5005 | 2009-11-19 |
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1528625787 | Kelly Ann Jewell-franken | Licensed Vocational Nurse | 9403 W Fm 515, Alba, TX 75410-2687 | 2019-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1881295053 | Jaelynda Prothero | Licensed Vocational Nurse | 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
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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.