KATHRYN SUE WILLIS (NPI# 1285249474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285249474 |
| Entity Type | Individual |
| Full Name | KATHRYN SUE WILLIS |
| Practice Address |
3316 Percentum Rd Apt 311 Toledo OH 43617-2141 |
| Practice Telephone | 4192833260 |
| Mailing Telephone | 4192833260 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
4808328 | OH | Nursing Service Related Providers |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
4808328 | OH | Nursing Service Related Providers |
| N | 376J00000X | Homemaker | 4808328 | OH | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 013893 | 05 | |
| OH | ODM | 4808328 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013432848 | Kathryn Willis | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2017-08-14 |
| 1598199127 | Kathryn Willis | Licensed Practical Nurse | 3300 James Street, Suite 201, Syracuse, NY 13206-2392 | 2013-08-30 |
| 1093000721 | Kathryn Owen Willis | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2011-06-10 |
| 1558519074 | Kathryn Marie Willis | Pharmacist | 2250 Hickory Rd, 240, Plymouth Meeting, PA 19462-1047 | 2008-09-09 |
| Street Address |
3316 PERCENTUM RD APT 311 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43617-2141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541838 | Barbara Futrell | Licensed Practical Nurse | 6629 Central Avenaue, Toledo, OH 43617 | 2020-03-02 |
| 1366917569 | Melissa Malinowski | Counselor | 7540 New West Road, Toledo, OH 43617 | 2018-10-04 |
| 1144716226 | Jessica Torres-garcia | Counselor | 7410 Port Sylvania Dr., Toledo, OH 43617 | 2018-07-02 |
| 1326538703 | Toledo Clinic Incorporated | Clinic/Center | 3330 Meijer Drive, Ste 2, Toledo, OH 43617 | 2018-05-11 |
| 1629570411 | Amy Marie Burgess | Case Manager/Care Coordinator | 6055 W. Central Ave., Toledo, OH 43617 | 2018-03-07 |
| 1760984231 | Stacey Lynn Mclaughlin | Counselor | 6629 Central Avenue, Toledo, OH 43617 | 2018-03-01 |
| 1801396601 | Anne Grady Coporation | Intermediate Care Facility, Mentally Retarded | 3216 Zone Avenue, Toledo, OH 43617 | 2018-02-19 |
| 1982111084 | Synergy Primary Care and Wellness LLC | Internal Medicine | 3230 Central Park W Ste 112, Toledo, OH 43617 | 2018-01-10 |
| 1316483381 | Amy R Mossing | Registered Nurse | 2770 Centennial Rd Bldg 7, Toledo, OH 43617 | 2017-01-13 |
| 1841674736 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2550 King Road, Toledo, OH 43617 | 2015-07-10 |
| Find all providers in zip 43617 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647058 | Tamika Nicole Mitchell | Technician | 130 Gradolph St, Toledo, OH 43612-1420 | 2020-10-23 |
| 1396350781 | Catherine Ann Bennett | Technician | 1907 W Woodruff Ave, Toledo, OH 43607-1681 | 2020-09-11 |
| 1548875123 | Maryann Gutierrez | Technician | 1412 Mott Ave, Toledo, OH 43605-1647 | 2020-09-10 |
| 1104441534 | Linda Sams | Technician | 617 Hobart St, Toledo, OH 43609-2422 | 2020-06-11 |
| 1982230249 | Tierra Byrd | Technician | 4026 Packard Rd, Toledo, OH 43612-1936 | 2020-03-19 |
| 1689214389 | Marcia L Collins-lighten | Technician | 1658 Milburn Ave, Toledo, OH 43606-4415 | 2020-01-10 |
| 1245898931 | Britany Johnsonpargo | Technician | 1624 Buckingham St, Toledo, OH 43607-4310 | 2019-05-29 |
| 1598266199 | Linnea Peagler | Technician | 2429 Cheyenne Blvd Apt 23, Toledo, OH 43614-1750 | 2018-02-28 |
| 1457868135 | Gwendolyn Rita Tucker | Technician | 206 Waggoner, Toledo, OH 43612 | 2018-01-04 |
| 1811416795 | Jewel Johnson | Technician | 151 Hausman St, Toledo, OH 43608-2332 | 2017-09-12 |
| Find all providers in TOLEDO | ||||
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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.