MOLLY WILLIS (NPI# 1275921264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275921264 |
Entity Type | Individual |
Full Name | MOLLY WILLIS |
Practice Address |
140 Arbor Dr San Diego CA 92103-2007 |
Practice Telephone | 6195437795 |
Mailing Telephone | 6195436699 |
Enumeration Date | 2014-12-30 |
Last Update Date | 2016-12-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 95042597 | CA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95004719 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CALIFORNIA BOARD OF REGISTERED NURSING | 95042597 | 01 |
CA | CALIFORNIA BOARD OF REGISTERED NURSING | 95004719 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023411980 | Molly Willis | Physician Assistant | 3000 Hospital Dr, Batavia, OH 45103-1921 | 2014-10-06 |
Street Address |
140 ARBOR DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92103-2007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538126644 | Giovanna G Zerbi | Psychologist | 140 Arbor Dr, San Diego, CA 92103-2007 | 2006-05-01 |
1790313286 | Natalie Beth Fettinger | Student in an Organized Health Care Education/Training Program | 140 Arbor Dr, San Diego, CA 92103-2007 | 2020-03-30 |
1538790605 | Kat Tupas Balingit | Nurse Practitioner | 140 Arbor Dr, San Diego, CA 92103-2007 | 2020-01-28 |
1134763659 | Juliann Michelle Hatt | Registered Nurse | 140 Arbor Dr, San Diego, CA 92103-2007 | 2019-10-29 |
1760026272 | Connie Quach | Registered Nurse | 140 Arbor Dr, San Diego, CA 92103-2007 | 2019-10-29 |
1588208094 | Olivia Jane Kearnes | Registered Nurse | 140 Arbor Dr, San Diego, CA 92103-2007 | 2019-10-29 |
1316581812 | Kelvin Ka-fai Poon | Registered Nurse | 140 Arbor Dr, San Diego, CA 92103-2007 | 2019-10-29 |
1255975769 | Molly Snell | Registered Nurse | 140 Arbor Dr, San Diego, CA 92103-2007 | 2019-10-29 |
1336783836 | Frances Starling Campbell | Registered Nurse | 140 Arbor Dr, San Diego, CA 92103-2007 | 2019-10-29 |
1922651256 | Shelly Stewart | Marriage & Family Therapist | 140 Arbor Dr, San Diego, CA 92103-2007 | 2019-07-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
Find all providers in zip 92103 |
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 |
---|---|---|---|---|
1609431196 | Tanya Denise Stevenson-gaines | Nurse Practitioner | 13988 Royal Melbourne Sq, San Diego, CA 92128-3646 | 2019-05-09 |
1457788598 | Christopher John Reddin | Nurse Practitioner | Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2013-10-03 |
1356650634 | Jamie M Sorenson | Nurse Practitioner | Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 | 2010-10-04 |
1023345204 | Nelda K. Coleman | Nurse Practitioner | 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 | 2009-11-10 |
1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
1396358024 | Stephanie Joyce Reed | Nurse Practitioner | 2630 1st Ave, San Diego, CA 92103-6599 | 2020-08-24 |
1104442185 | Joshua Don Dougherty | Nurse Practitioner | 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 | 2020-06-24 |
1801422258 | Safiya Damali Daley | Nurse Practitioner | 1675 Morena Blvd, San Diego, CA 92110-3703 | 2020-03-17 |
1083247779 | Fernando Ebeo Serrano Jr. | Nurse Practitioner | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-02-20 |
1538790605 | Kat Tupas Balingit | Nurse Practitioner | 140 Arbor Dr, San Diego, CA 92103-2007 | 2020-01-28 |
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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.