CARRIE ANNE WILLIS (NPI# 1811151020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811151020 |
| Entity Type | Individual |
| Full Name | CARRIE ANNE WILLIS |
| Credential | MD |
| Practice Address |
1380 E Medical Center Dr Ste 1500 St George UT 84790-2123 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4352512500 |
| Mailing Telephone | 4352512500 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2016-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
8696965-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780949198 | Carrie Willis | Rehabilitation Practitioner | 9823 Havasupai Ave, Las Vegas, NV 89148-1740 | 2012-07-11 |
| 1306357298 | Carrie Lynn Willis | Speech-Language Pathologist | 9325 Midlothian Tpke Ste A, North Chesterfield, VA 23235-4943 | 2017-10-18 |
| 1114458742 | Carrie Willis | Counselor | 14 S Paint St, Chillicothe, OH 45601-3203 | 2017-03-24 |
| 1801032867 | Carrie Angela Willis | Registered Nurse | 4000 Kresge Way, Louisville, Louisville, KY 40207-4605 | 2008-12-22 |
| Street Address |
1380 E MEDICAL CENTER DR STE 1500 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216292 | Holly A Gore | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2005-09-23 |
| 1659971109 | Fran Vakalahi | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-10-26 |
| 1396352001 | Conni Elms | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-09-26 |
| 1659996304 | Ian Andrus | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-06-09 |
| 1588287320 | Paul Siddoway Cochran | Nurse Practitioner | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-27 |
| 1083235618 | Don Benjamin Wilson | Pharmacist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-05-05 |
| 1427680651 | Kimberly Hull | Dietitian, Registered | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-02-05 |
| 1255971198 | Pathology Services Inc | Pathology | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2020-01-08 |
| 1356988604 | Gregory Seth Orton | Registered Nurse | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-12-05 |
| 1326683897 | Amelia E Ence | Occupational Therapist | 1380 E Medical Center Dr, St George, UT 84790-2123 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689635922 | Lynn R. Nimer | Internal Medicine | 1380 E Medical Center Dr Ste 4100, St George, UT 84790-2156 | 2006-03-28 |
| 1205031549 | Jamison C Jones | Internal Medicine | 1380 E Medical Center Dr, Ste 4100, St George, UT 84790-2156 | 2007-06-18 |
| 1679691398 | Heart of Dixie PC | Internal Medicine | 1380 E Medical Center Dr, Ste # 4100, St George, UT 84790-2156 | 2007-03-27 |
| 1831267145 | Mary Ann Mcdonnell Md PC | Internal Medicine | 301 North 200 East, Suite 1d, St George, UT 84770 | 2006-12-04 |
| 1801981410 | Nicholas Henry Laffely | Internal Medicine | 1380 E Medical Center Dr Ste 4100, St George, UT 84790-2156 | 2006-10-03 |
| 1063510220 | Janet Lynn Otto | Internal Medicine | 1380 E Medical Center Dr, Ste 1500, St George, UT 84790-2123 | 2006-09-20 |
| 1295775971 | Gary Petersen | Internal Medicine | 1380 E Medical Center Dr, Ste # 4100, St George, UT 84790-2156 | 2006-06-08 |
| 1801836291 | Ihc Health Services Inc | Internal Medicine | 1380 E Medical Center Dr, Suite 1500, St George, UT 84790-2123 | 2006-06-07 |
| 1659344471 | David C Boorman | Internal Medicine | 1380 E Medical Center Dr, Ste 4100, St George, UT 84790-2123 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225681166 | Motivational Medicine | Internal Medicine | 621 E Mayor Place Dr, American Fork, UT 84003-8015 | 2019-07-19 |
| 1972026227 | Castleview Physician Practice, LLC | Internal Medicine | 945 W Hospital Dr Ste 3, Price, UT 84501-4230 | 2017-07-19 |
| 1134470347 | Lynn R Nimer, Md, A Professional Corporation | Internal Medicine | 1380 East Medical Center Ste 3500, St. George, UT 84790-2123 | 2012-09-27 |
| 1003189622 | Mehmet Akkaya | Internal Medicine | University of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132-0001 | 2012-02-13 |
| 1700199627 | Majd Ibrahim | Internal Medicine | 30 N Medical Dr Rm 4a100, Salt Lake City, UT 84132 | 2010-07-20 |
| 1588804314 | Michael John Preece | Internal Medicine | 1064 Donner Way, Salt Lake City, UT 84108-2507 | 2009-03-06 |
| 1902071673 | John Joseph Ryan | Internal Medicine | Division of Cardiology University of Utah, 50 North Medical Dr, Salt Lake City, UT 84132-0100 | 2008-04-24 |
| 1831364561 | Lowell Chang | Internal Medicine | 30 N Medical Dr, Salt Lake City, UT 84132-0001 | 2008-04-23 |
| 1326226671 | Deborah Budge | Internal Medicine | 5121 So. Cottonwood Drive, J.l. Sorenson Heart & Lung Center, Lower Level One, Murray, UT 84107-5701 | 2008-02-07 |
| 1942486915 | Grant L Christian Md A Professional Corporation | Internal Medicine | 425 Medical Dr Ste 118, Bountiful, UT 84010-8914 | 2008-01-21 |
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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.