AMELIA WILLIS


Address: 23 Sunnybrook Rd, Raleigh, NC 27610-1855
Phone: 9192503478

AMELIA WILLIS (NPI# 1679129720) 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) 1679129720
Entity Type Individual
Full Name AMELIA WILLIS
Credential CPNP-PC
Practice Address 23 Sunnybrook Rd
Raleigh
NC 27610-1855
Practice Telephone 9192503478
Mailing Telephone 9192503478
Enumeration Date 2019-08-14
Last Update Date 2019-08-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
283152 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 23 SUNNYBROOK RD
City RALEIGH
State NC
Zip Code 27610-1855

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386648756 James A Scovil Legal Medicine 23 Sunnybrook Rd, Ste 109, Raleigh, NC 27610-1855 2005-06-13
1861030371 Macon Louise Cornick Guidry Dietitian, Registered 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-12-16
1497307334 Wakemed Specialists Group LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-07-11
1336704766 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1265097695 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1245895697 Wakemed Specialists Group, LLC Counselor 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1982269346 Wakemed Specialists Group, LLC Surgery 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1962067314 Wakemed Specialists Group, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-05-01
1659934511 Wake Specialty Physicians, LLC Pediatrics 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2019-04-17
1568958866 Allison Sharp Mcdougal Dietitian, Registered 23 Sunnybrook Rd, Raleigh, NC 27610-1855 2018-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811594732 Megan Hoekstra Nurse Practitioner 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 2020-10-04
1033667621 Hillary Houghton Nurse Practitioner 10211 Alm St # 210, Raleigh, NC 27617 2016-09-13
1568654903 Malinda Teague Nurse Practitioner 2406 Blue Ridge Rd Ste 100, Raleigh, NC 27607 2007-08-09
1124235114 Amanda Brinson Lorek Nurse Practitioner 7990 Corporate Drive, Raleigh, NC 27617-2030 2007-05-17
1457577355 Debra Lohman Weaver Nurse Practitioner 10211 Alm St Ste 212, Raleigh, NC 27617 2007-04-18
1801012604 Cheryl Lynn Crawford Nurse Practitioner 3801 Computer Dr Ste 200, Raleigh, NC 27609-6506 2007-04-18
1992717292 Kara B. Willette Nurse Practitioner 1708 Trawick Rd, Suite 111, Raleigh, NC 27604-3897 2006-08-13
1750359303 Mary Katherine Carroll Nurse Practitioner 7990 Arco Corporate Dr, Raleigh, NC 27617-2029 2006-03-09
1568432961 Crystal Yazmin Mcneal Nurse Practitioner 314 E Hargett St, Raleigh, NC 27601-1436 2006-01-26
1568082642 Aileen Pierson Nurse Practitioner 3350 Six Forks Rd, Raleigh, NC 27609-7233 2020-04-20
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Competitor

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City RALEIGH
Zip Code 27610

Improve Information

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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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