DR. CIARA AMBER WILLIS (NPI# 1821655796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821655796 |
| Entity Type | Individual |
| Full Name | DR. CIARA AMBER WILLIS |
| Credential | DO |
| Practice Address |
1215 E Michigan Ave # 3-post Lansing MI 48912-1896 |
| Mailing Address |
2910 George Rd Okeana OH 45053-9727 |
| Practice Telephone | 5173642583 |
| Practice Fax Number | 5173643002 |
| Mailing Telephone | 5132607097 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1215 E MICHIGAN AVE # 3-POST |
| City | LANSING |
| State | MI |
| Zip Code | 48912-1896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497248355 | Mont R Roberts | Emergency Medicine | 1215 E Michigan Ave # 3-post, Lansing, MI 48912-1811 | 2018-06-14 |
| 1811481567 | Matthew Leo Kennedy | Emergency Medicine | 1215 E Michigan Ave # 3-post, Lansing, MI 48912-1811 | 2018-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
| 1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
| Find all providers in zip 48912 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923532 | Kelsey Ann Crowell | Student in an Organized Health Care Education/Training Program | 549 Glendale Ave, Lansing, MI 48910-4612 | 2020-08-17 |
| 1841816063 | Reid Sanders | Student in an Organized Health Care Education/Training Program | 1322 E Michigan Ave Ste 202b, Lansing, MI 48912-2109 | 2020-06-23 |
| 1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
| 1366000549 | Cayla C Ulrich | Student in an Organized Health Care Education/Training Program | 215 E Michigan Ave, Lansing, MI 48933 | 2019-06-03 |
| 1134604390 | Kazuho Kondo | Student in an Organized Health Care Education/Training Program | 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 | 2018-10-03 |
| 1659869378 | Amy Trinh | Student in an Organized Health Care Education/Training Program | 5807 Cortina Trl, Lansing, MI 48917-3097 | 2018-04-27 |
| 1982131793 | Cody Weston | Student in an Organized Health Care Education/Training Program | 6830 W Eaton Hwy, Lansing, MI 48906-9059 | 2017-05-11 |
| 1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
| 1346656063 | Watchara Lohawijarn | Student in an Organized Health Care Education/Training Program | 1215 E Michigan Ave Sparrow Hospital, Lansing, MI 48909 | 2014-07-02 |
| 1407113277 | Leianne Torres | Student in an Organized Health Care Education/Training Program | 18011 Escanaba Ave, Lansing, IL 60438-2119 | 2012-04-18 |
| Find all providers in LANSING | ||||
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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.