MRS. TINA MARIE WILLS (NPI# 1144537366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144537366 |
| Entity Type | Individual |
| Full Name | MRS. TINA MARIE WILLS |
| Credential | OPTOMETRY TECH |
| Practice Address |
126 Missouri Ave. Eent Clinic Jeneral Leonard Wood Army Community Hospital Fort Leonard Wood MO 65473 |
| Practice Telephone | 5735960131 |
| Practice Fax Number | 5735960086 |
| Mailing Telephone | 5735960131 |
| Mailing Fax Number | 5735960086 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821534108 | Tina A. Wills | Occupational Therapy Assistant | 347 Myrtlewood Rd, Melbourne, FL 32940-7768 | 2017-01-11 |
| 1104229996 | Tina Wills | Physical Therapy Assistant | 16405 Northcross Dr, Suite G-2, Huntersville, NC 28078-5091 | 2014-10-07 |
| Street Address |
126 MISSOURI AVE. EENT CLINIC JENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760780167 | David Lee Smith | Technician, Other | 1902 Shay St Unit 9221, Fort Leonard Wood, MO 65473 | 2011-03-09 |
| 1740582493 | Susan Marie Wolf | Technician, Other | 126 Missouri Ave # 1229, Fort Leonard Wood, MO 65473-8952 | 2010-12-01 |
| 1932408317 | Louis Colasanti | Technician, Other | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2011-03-24 |
| 1700184710 | Victoria Dawn Simms | Technician, Other | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2011-03-01 |
| 1639471477 | Brandilee Nicole Redden | Technician, Other | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-11-30 |
| 1124336136 | Kelly Lee Bean | Technician, Other | 126 Missouri Ave, Fort Leonard Wood, MO 65473 | 2010-09-24 |
| 1366758484 | Connie Prewett | Technician, Other | 126 Missouri Ave, Box 1263, Fort Leonard Wood, MO 65473-8952 | 2010-08-26 |
| 1720394943 | Patricia Mae Akers I | Technician, Other | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457872160 | Jessica Luster | Technician, Other | 1109 Jones St., Kennett, MO 63857 | 2017-07-03 |
| 1639609209 | Lice Busters St. Louis LLC | Technician, Other | 7923 Big Bend Blvd, Saint Louis, MO 63119-2703 | 2017-06-15 |
| 1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
| 1316470693 | Mjt Enterprises | Technician, Other | 1053 S Callahan Rd, Wentzville, MO 63385-4701 | 2017-04-04 |
| 1790217685 | Twoanda Benton | Technician, Other | 6219 Lenox Ave, Saint Louis, MO 63133-2223 | 2017-03-30 |
| 1700327426 | Heartland Healthy Heads North | Technician, Other | 6 Victory Ln Ste 5, Liberty, MO 64068-3805 | 2017-03-14 |
| 1295284321 | Hannah Egbert | Technician, Other | 701 E Cleveland St, Hayti, MO 63851-1270 | 2016-09-30 |
| 1114378494 | Haley Elizabeth Ford | Technician, Other | 500 Highway J # 61jn, Hayti, MO 63851-1200 | 2016-06-28 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
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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.