LORRIE WILLEY (NPI# 1235761917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235761917 |
| Entity Type | Individual |
| Full Name | LORRIE WILLEY |
| Credential | FNP |
| Practice Address |
12207 N 113th Ave Youngtown AZ 85363-1208 |
| Mailing Address |
16845 N 29th Ave Ste 1406 Phoenix AZ 85053-0412 |
| Practice Telephone | 8582426486 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 729022 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012682 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12207 N 113TH AVE |
| City | YOUNGTOWN |
| State | AZ |
| Zip Code | 85363-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716454 | Sierra Land | Skilled Nursing Facility | 12207 N 113th Ave, Youngtown, AZ 85363-1208 | 2005-11-07 |
| 1407119456 | Eric Lee Amiel | Physical Therapist | 12207 N 113th Ave, Youngtown, AZ 85363-1208 | 2012-06-24 |
| 1467663708 | Youngtown Health, Inc. | Skilled Nursing Facility | 12207 N 113th Ave, Youngtown, AZ 85363-1208 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495387 | Sage Counseling, Inc. | Community/Behavioral Health | 12600 N. 113th Ave., Building B, Suite 6, Phoenix, AZ 85363 | 2018-01-17 |
| 1770026361 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11521 W. Peoria Avenue, Youngtown, AZ 85363 | 2016-11-30 |
| 1760925358 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11523 W. Peoria Avenue, Youngtown, AZ 85363 | 2016-11-30 |
| 1043753635 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11527 W. Peoria Avenue, Suite 500, Youngtown, AZ 85363 | 2016-11-30 |
| 1992257539 | Allen Michael Moore | Pharmacist | 10727 W. Olive Ave., Youngtown, AZ 85363 | 2016-10-31 |
| 1295010007 | Laura Nichols | Dentist | 11132 California Ave, Youngtown, AZ 85363 | 2011-10-13 |
| 1154541324 | Phoenix Senior Living LLC | Alzheimer Center (Dementia Center) | 12322 N 13th Avenue, Youngtown, AZ 85363 | 2007-04-27 |
| 1265509319 | John E Cooper II | Dentist | 11126 West Wisconsin Avenue, Suite 1, Youngtown, AZ 85363 | 2006-11-30 |
| 1194783886 | Mark Paul Yates | Dentist | 11100 W Michigan Ave, Youngtown, AZ 85363 | 2006-05-02 |
| 1447646146 | Rajkumar Sugumaran Md Pllc | Internal Medicine | 11124 W California Ave, # G, Youngtown, AZ 85363 | 2015-04-09 |
| Find all providers in zip 85363 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477511665 | Thomas Alan Green | Nurse Practitioner | 12600 N 113th Ave Ste C6, Youngtown, AZ 85363-1164 | 2006-05-04 |
| 1548643836 | Az At Home Inc | Nurse Practitioner | 12600 N 113th Ave Ste C6, Youngtown, AZ 85363-1164 | 2015-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
| 1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1861091175 | Guiding Light Holistic Healthcare | Nurse Practitioner | 9758 S La Rosa Dr, Tempe, AZ 85284-5004 | 2020-10-19 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| 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.