KODY ALLEN WILLIS (NPI# 1740780212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740780212 |
| Entity Type | Individual |
| Full Name | KODY ALLEN WILLIS |
| Credential | RN |
| Practice Address |
5412 24th St Lubbock TX 79407-2130 |
| Practice Telephone | 4329351359 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 841112 | TX | Nursing Service Providers |
| Street Address |
5412 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1275142077 | Detra Johnson | Registered Nurse | 7510 102nd St, Lubbock, TX 79424-6882 | 2020-07-28 |
| 1578172730 | Glenda Catherine Abuton Baz | Registered Nurse | 5001 Chicago Ave Apt 421, Lubbock, TX 79414-1733 | 2020-07-23 |
| 1407476559 | Katherine Vardeman | Registered Nurse | 3243 93rd St, Lubbock, TX 79423-3747 | 2020-04-18 |
| 1033748389 | Jamie Elizabeth Garza | Registered Nurse | 2811 Oakridge Ave Apt 103, Lubbock, TX 79407-2861 | 2020-04-07 |
| 1609403948 | Catherine Martin | Registered Nurse | 3002 26th St, Lubbock, TX 79410-3049 | 2020-03-26 |
| 1407483514 | Debbie Lynn Leclear | Registered Nurse | 3780 20th Street Suite A, Lubbock, TX 79410-6382 | 2020-03-26 |
| 1831729110 | Genevieve Billa | Registered Nurse | 6312 73rd St Apt 1107, Lubbock, TX 79424-1964 | 2020-01-25 |
| 1619538139 | Crystal Michelle Chandler | Registered Nurse | 5817 79th St, Lubbock, TX 79424-1723 | 2019-06-25 |
| 1992268924 | Cara Duvall Bainum | Registered Nurse | 211 Zoar Ave, Lubbock, TX 79416-3102 | 2019-04-08 |
| 1497216840 | Verneda Angel Kimfila | Registered Nurse | 6530 7th St, Lubbock, TX 79416-3770 | 2019-03-28 |
| Find all providers in LUBBOCK | ||||
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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.