CORRIE WILLIS (NPI# 1891771010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891771010 |
| Entity Type | Individual |
| Full Name | CORRIE WILLIS |
| Other Name | CORRIE HUGHES |
| Credential | RNBC, APMHCNS |
| Practice Address |
303 Weller St Macon MO 63552-1942 |
| Practice Telephone | 6603950180 |
| Practice Fax Number | 6603950181 |
| Mailing Telephone | 6603950180 |
| Mailing Fax Number | 6603950181 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2011-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
107534 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
303 WELLER ST |
| City | MACON |
| State | MO |
| Zip Code | 63552-1942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917525 | Andrew Lovy | Psychiatry & Neurology | 303 Weller St, Macon, MO 63552-1942 | 2005-07-26 |
| 1548437098 | Health and Healing LLC | Social Worker | 303 Weller St, Macon, MO 63552-1942 | 2008-05-14 |
| 1053392415 | Donnell R Huff | Social Worker | 303 Weller St, Macon, MO 63552-1942 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| 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 |
|---|---|---|---|---|
| 1346749926 | Hayley Edmonston | Nurse Practitioner | 2994 Woodhaven Cir, Macon, GA 31204-1241 | 2018-02-08 |
| 1740683309 | Psychiatric Np Services | Nurse Practitioner | 5228 Brandywine Dr, Macon, GA 31210-2902 | 2014-09-26 |
| 1356755128 | Kenyotter Whipple | Nurse Practitioner | 1400 Gray Hwy Apt 808, Macon, GA 31211-1931 | 2014-06-19 |
| 1174139281 | Joy Anne Safo | Nurse Practitioner | 175 Emery Hwy, Macon, GA 31217-3692 | 2020-09-23 |
| 1326419201 | Brenda Griffin | Nurse Practitioner | 340 Hospital Dr, Suite 370, Macon, GA 31217-3838 | 2015-10-16 |
| 1750707337 | Bryan Kelly Jaye | Nurse Practitioner | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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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.