MS. LINDSEY NICOLE WILLIS (NPI# 1336544758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336544758 |
| Entity Type | Individual |
| Full Name | MS. LINDSEY NICOLE WILLIS |
| Practice Address |
1905 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Mailing Address |
2411 W Elm Mott Dr Waco TX 76705-5304 |
| Practice Telephone | 2542982689 |
| Practice Fax Number | 2547787196 |
| Mailing Telephone | 2547173998 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP126723 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053645366 | Lindsey Milner Willis | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2009-09-21 |
| 1962013177 | Lindsey Willis | Behavior Technician | 4440 Viking Dr Ste 400, Bossier City, LA 71111-7511 | 2020-08-11 |
| 1689210148 | Lindsey Nikole Willis | Counselor | 5665 Hoover Rd, Grove City, OH 43123-9122 | 2019-11-20 |
| 1881238111 | Lindsey Dill Willis | Nurse Practitioner | 171 Ashley Avenue, Charleston, SC 29425 | 2019-10-30 |
| 1295198075 | Lindsey Willis | Social Worker | 1138 Pine St, Burlington, VT 05401-5353 | 2016-03-30 |
| 1689098345 | Lindsey Willis | Physical Therapist | 2785 Highway 54, Peachtree City, GA 30269-1063 | 2014-02-14 |
| Street Address |
1905 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410439 | Austin Wei Chang | Ophthalmology | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2005-07-11 |
| 1730645995 | Collins Family Pharmacy LLC | Pharmacy | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-02-13 |
| 1497230395 | Jennifer Smith | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-27 |
| 1093245854 | Jocelyn Cheung | Physical Therapist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2017-06-14 |
| 1740736347 | Christie Lyn Torres | Nurse Practitioner | 1905 Sw H K Dodgen Loop, 1700 Brazos, Rockdale Tx 76567, Temple, TX 76502-1814 | 2016-09-01 |
| 1174977516 | Preston Neal Martin | Physical Therapist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2016-04-22 |
| 1699179465 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-22 |
| 1093121741 | Little River Medical Group | Family Medicine | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-07-02 |
| 1679904577 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-12-03 |
| 1700148558 | Anthony J Collins | Pharmacist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2012-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346542107 | Allyson D Parker | Nurse Practitioner | 2112 Sw Loop 363, Suite 110, Temple, TX 76504-7004 | 2010-11-30 |
| 1285277061 | Charity Ann Driver | Nurse Practitioner | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-10-23 |
| 1497230395 | Jennifer Smith | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-27 |
| 1730612631 | Janet Isat | Nurse Practitioner | 6684 W Adams Ave, Temple, TX 76502-5632 | 2017-04-06 |
| 1770035941 | Toni Sorensen | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 | 2016-11-03 |
| 1790138378 | Brittany Eichhorn | Nurse Practitioner | 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 | 2016-07-19 |
| 1124423272 | Jill Mcgahey | Nurse Practitioner | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-31 |
| 1215272554 | Julie Ann Castro | Nurse Practitioner | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2012-11-27 |
| 1013224286 | Milicent Cherisse Johnson | Nurse Practitioner | 2401 S 31st St, 4b Pediatric Gastroenterology Clinic, Temple, TX 76508-0001 | 2010-09-08 |
| 1659699221 | Shannen Lynn Dumond | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2010-05-06 |
| Find all providers in TEMPLE | ||||
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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.