MS. MICHELLE RENE WILLIS (NPI# 1770047557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770047557 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE RENE WILLIS |
| Credential | PMHNP-BC |
| Practice Address |
3901 E 32nd St Joplin MO 64804-3312 |
| Mailing Address |
423 5th St Oswego KS 67356-2101 |
| Practice Telephone | 4173477600 |
| Mailing Telephone | 6204234266 |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2019-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
53-78546-122 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922305051 | Michelle L Willis | Nurse Practitioner | 25 Business Park Dr, Greenbrier, AR 72058-9263 | 2011-02-25 |
| 1255567574 | Michelle Dianne Willis | Family Medicine | 12151 Regency Pkwy Ste 155, Huntley, IL 60142-7644 | 2009-06-01 |
| 1790710432 | Michelle Renee Willis | Social Worker | 5570 Sterrett Pl, Suite 101, Columbia, MD 21044-2641 | 2006-07-11 |
| 1386255180 | Michelle Willis | Technician | 281 Maple Ave, Oak Hill, WV 25901-3475 | 2020-08-14 |
| 1285275503 | Michelle J Willis | Technician | 1711 Benning Rd Ne Apt F14, Washington, DC 20002-7250 | 2019-10-08 |
| 1780244582 | Michelle Lynn Willis | Social Worker | 1110 Benfield Blvd Ste B, Millersville, MD 21108-2644 | 2019-06-14 |
| 1952762098 | Michelle Willis | Occupational Therapist | 3311 Burnt Mill Dr, Wilmington, NC 28403-2654 | 2016-03-17 |
| 1356747604 | Michelle Willis | Physical Therapist | 507 S Main St, Viroqua, WI 54665-2059 | 2014-11-14 |
| 1548505993 | Michelle Y Willis | Registered Nurse | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2012-12-11 |
| 1871737585 | Michelle L Willis | Respiratory Therapist, Certified | 5806 Cooper Chapel Rd, Louisville, KY 40229-1312 | 2009-04-24 |
| Street Address |
3901 E 32ND ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821087792 | Ozark Center | Pharmacy | 3901 E 32nd St, Joplin, MO 64804-3312 | 2005-10-13 |
| 1063028116 | Rachel A Painter | Counselor | 3901 E 32nd St, Joplin, MO 64804-3312 | 2020-09-23 |
| 1841823093 | Jennifer D Johnson | Counselor | 3901 E 32nd St, Joplin, MO 64804-3312 | 2020-02-17 |
| 1568021814 | Steven D Dillard | Social Worker | 3901 E 32nd St, Joplin, MO 64804-3312 | 2019-06-11 |
| 1477110633 | Jenna L Myers | Social Worker | 3901 E 32nd St, Joplin, MO 64804-3312 | 2019-05-23 |
| 1982187324 | Lisa M Ruhl | Counselor | 3901 E 32nd St, Joplin, MO 64804-3312 | 2018-09-12 |
| 1699273326 | Tami King | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2018-01-29 |
| 1750895165 | Samantha White | Counselor | 3901 E 32nd St, Joplin, MO 64804-3312 | 2017-11-21 |
| 1396266573 | Thomas Hernandez | Social Worker | 3901 E 32nd St, Joplin, MO 64804-3312 | 2017-06-28 |
| 1790239572 | Mark Miller | Social Worker | 3901 E 32nd St, Joplin, MO 64804-3312 | 2016-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083046957 | Michele Rickman | Nurse Practitioner | 5959 State Line Rd, Joplin, MO 64804-8835 | 2013-08-02 |
| 1407488257 | Monica G. Crain | Nurse Practitioner | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-02-10 |
| 1093376832 | Kimberly Anne Hammonds | Nurse Practitioner | 530 E 34th St, Joplin, MO 64804-3926 | 2019-06-24 |
| 1699273326 | Tami King | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2018-01-29 |
| 1740735497 | Elizabeth Cameron Moore | Nurse Practitioner | 1105 E 32nd St, Joplin, MO 64804-2879 | 2016-08-23 |
| 1811340268 | Karin Baughman | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2016-07-21 |
| 1962897173 | Kassidi Bremer | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2015-04-03 |
| 1831498336 | Robin Spears | Nurse Practitioner | 530 E 34th St, 202, Joplin, MO 64804-3926 | 2011-03-23 |
| 1164736559 | Karl R. Stammer | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2010-07-28 |
| 1639318314 | Barbara Jane Kuzara | Nurse Practitioner | 3901 E 32nd St, Joplin, MO 64804-3312 | 2009-02-19 |
| Find all providers in JOPLIN | ||||
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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.