MARY E WILLIS (NPI# 1710127626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710127626 |
| Entity Type | Individual |
| Full Name | MARY E WILLIS |
| Credential | R.D., L.D., C.D.E. |
| Practice Address |
15101 Glenwood Ave Stanley KS 66223-3154 |
| Mailing Address |
Po Box 741331 Atlanta GA 30374-1331 |
| Practice Telephone | 9136818866 |
| Practice Fax Number | 9133381311 |
| Mailing Telephone | 9134690503 |
| Mailing Fax Number | 9133381311 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2013-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677406 | Mary Grace Willis | Licensed Vocational Nurse | 232 County Road 2921, Alba, TX 75410-5830 | 2020-10-22 |
| 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 |
| 1346499241 | Mary E Willis | Clinic/Center | 550 Pope Ave, Fort Leavenworth, KS 66027-2332 | 2008-09-16 |
| Street Address |
15101 GLENWOOD AVE |
| City | STANLEY |
| State | KS |
| Zip Code | 66223-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770577629 | Mitzi M Groves | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2005-09-07 |
| 1134741044 | Kylie Gafford | Physician Assistant | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2020-05-13 |
| 1891175527 | Jenna Beth Kawase Eshcol | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2015-06-08 |
| 1477955755 | Jessica Blake | Registered Nurse | 15101 Glenwood Ave, Stanley, KS 66223 | 2014-09-18 |
| 1780952127 | Brooke Nicole Mcguire | Registered Nurse | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2011-12-13 |
| 1245470152 | Anna Newby | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1437399342 | Amy J Kapple | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1437314838 | Overland Park Surgical Specialties, LLC | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2008-07-24 |
| 1568506889 | Labone Inc | Clinical Medical Laboratory | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2007-02-19 |
| 1528056157 | Suzanne H Shaffer | Family Medicine | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2005-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902311178 | Nutrition Solutions With Meg, LLC | Dietitian, Registered | 7377 S Little Egypt Rd, Stanley, NC 28164-8728 | 2017-12-08 |
| 1386085579 | Kimberly Dunsmore Smith | Dietitian, Registered | 3020 Tranquility Ct, Stanley, NC 28164-9408 | 2013-07-16 |
| 1245470152 | Anna Newby | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1437399342 | Amy J Kapple | Dietitian, Registered | 15101 Glenwood Ave, Stanley, KS 66223-3154 | 2009-03-05 |
| 1639221898 | Laurie Lee Norstedt | Dietitian, Registered | 1120 Pine Street, Stanley, WI 54768-0220 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776422 | Michele Keethler | Dietitian, Registered | 1842 N Columbine, Andover, KS 67002-8113 | 2020-09-25 |
| 1609480284 | Carolyn Schmidt | Dietitian, Registered | 11433 Cody St, Overland Park, KS 66210-3497 | 2020-09-01 |
| 1114531944 | Ellen Marie Carp | Dietitian, Registered | 2728 N Hoover Rd, Wichita, KS 67205-1031 | 2020-08-31 |
| 1447863287 | Caroline Vogel Finnell | Dietitian, Registered | 9030 W 64th Pl Apt 202, Merriam, KS 66202-4706 | 2020-08-30 |
| 1750991238 | Tyler Downs | Dietitian, Registered | 1542 N Mesa St, Wichita, KS 67212-1237 | 2020-08-09 |
| 1790395424 | Amanda Brown | Dietitian, Registered | 14104 Mohawk Rd, Leawood, KS 66224-1123 | 2020-08-06 |
| 1679181176 | Susan N Lukwago | Dietitian, Registered | 1330 N Cain Ave, Liberal, KS 67901-2317 | 2020-07-21 |
| 1356960256 | Emily Lincicome | Dietitian, Registered | 1056 N Porter Ave, Wichita, KS 67203-3023 | 2020-04-10 |
| 1285263632 | Victoria Lauren Wassner | Dietitian, Registered | 16000 Granada St Apt 210, Overland Park, KS 66085-8459 | 2020-04-07 |
| 1194353128 | Claudia Martin-ayoade | Dietitian, Registered | 13710 W 120th St, Olathe, KS 66062-5689 | 2020-03-27 |
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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.