SUSAN E WILLIS (NPI# 1346304557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346304557 |
| Entity Type | Individual |
| Full Name | SUSAN E WILLIS |
| Credential | RN, BSN |
| Practice Address |
4000 Jennings Station Rd Saint Louis MO 63121-3323 |
| Practice Telephone | 3146797826 |
| Practice Fax Number | 3146797876 |
| Mailing Telephone | 3146797826 |
| Mailing Fax Number | 3146797876 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
069751 | MO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RN LICENCE | 06751 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956553 | Susan Willis | Pharmacist | 712 Highway 371, Mooreville, MS 38857-7356 | 2018-09-18 |
| 1043315187 | Susan Willis | Psychiatry & Neurology | 3123 Fairview Ave E, Seattle, WA 98102-3051 | 2006-09-13 |
| 1689627945 | Susan Elizabeth Willis | Psychologist | 1066 W 4th St, Winston-salem, NC 27101-2434 | 2006-05-18 |
| 1619975448 | Susan M. Willis | Nurse Anesthetist, Certified Registered | 7205 Lake Mead Blvd, Arlington, TX 76016-4137 | 2005-07-14 |
| 1417415340 | Susan R Willis | Counselor | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2019-03-11 |
| 1528422938 | Susan Willis | Counselor | 6 Roberts Rd, Asheville, NC 28803-8699 | 2016-04-12 |
| 1396080396 | Susan Donna Willis | Nurse Practitioner | 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 | 2012-12-01 |
| 1316268832 | Susan Diane Willis | Marriage & Family Therapist | 3951 Performance Dr, Suite #g, Sacramento, CA 95838-3264 | 2010-06-18 |
| 1467652180 | Susan E Willis | Psychologist | 1625 The Alameda, Suite 404, San Jose, CA 95126-2220 | 2007-07-20 |
| 1578685780 | Susan Amy Willis | Counselor | 599 Canal St, Lawrence, MA 01840-1244 | 2007-04-06 |
| Street Address |
4000 JENNINGS STATION RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63121-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649257262 | John A Lautenschlager | Family Medicine | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2005-12-23 |
| 1902361264 | Fannie Willms Kelly | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2019-01-31 |
| 1437613833 | Bianca Andrews | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2019-01-30 |
| 1962966424 | Jessika Wright | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2019-01-29 |
| 1215413760 | Becky Smith Schrama | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2018-07-18 |
| 1134660004 | Labone LLC | Clinical Medical Laboratory | 4000 Jennings Station Rd, Rm 145, Saint Louis, MO 63121-3323 | 2017-03-13 |
| 1083164297 | Kate Elizabeth Liefer | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2016-10-12 |
| 1770033532 | Heather Brown | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2016-10-05 |
| 1831567585 | Jennifer Rico | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2015-09-11 |
| 1356731004 | Natalie Eads | Nurse Practitioner | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2015-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511692 | Heal 4 Rtg Home Health Care Cds, LLC | Home Health | 7129 Woodrow Ave, St Louis, MO 63121 | 2020-09-01 |
| 1689215725 | Bessia Mae Walker | Technician | 8909 Weldon Avenue, Apt 115, St. Louis, MO 63121 | 2019-09-30 |
| 1790263218 | Relda Denise Owens-mathews | Social Worker | 7855 Natural Bridge Rd, Saint Louis, MO 63121 | 2018-08-06 |
| 1215421334 | Speak Wonders, LLC | Speech-Language Pathologist | 7432 Marillac Dr, Saint Louis, MO 63121 | 2018-06-21 |
| 1306370937 | Another Helping Hand Home Healthcare, LLC | Home Health | 23 North Oaks Plaza Suite 228, Saint Louis, MO 63121 | 2017-04-20 |
| 1295105054 | Youthful You Adult Daycare LLC | Clinic/Center | 6363 Natural Bridge, Pinelawn, MO 63121 | 2015-10-05 |
| 1982029880 | Deborah Marie Jeffery | Nurse Practitioner | 7626 Natural Bridge Road, St Louis, MO 63121 | 2014-02-28 |
| 1356626832 | Ala Allozi | Pharmacist | 7199 Natural Bridge Dr, Saint Louis, MO 63121 | 2011-10-17 |
| 1659541274 | Express Home Care | Counselor | 3641 Oakdale Ave, Saint Louis, MO 63121 | 2008-03-11 |
| 1053525048 | Angel's Care Inc | Homemaker | 23 N. Oaks Plaza, Suite 245, St. Louis, MO 63121 | 2007-05-09 |
| Find all providers in zip 63121 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209405 | Shannon Renee Hensler | Registered Nurse | 1430 Olive St Ste 400, Saint Louis, MO 63103-2303 | 2020-03-12 |
| 1215413760 | Becky Smith Schrama | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2018-07-18 |
| 1912248758 | Pennie Denise Clinton | Registered Nurse | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 | 2013-03-04 |
| 1467706549 | Dawanda Buchanan | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2012-10-29 |
| 1568715605 | Jeanette Rochelle Buckner | Registered Nurse | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 | 2012-10-25 |
| 1518273879 | Tammy Dixon | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2010-08-25 |
| 1609191071 | Debra Ann Tebbe | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2010-03-29 |
| 1548591803 | Judith Karen Spencer | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2010-01-26 |
| 1144559337 | Shellietta Marie Mctyer | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2009-12-17 |
| 1205164324 | Alice Mitchell | Registered Nurse | 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 | 2009-12-01 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63121 |
Please comment or provide details below to improve the information on SUSAN E WILLIS.
| 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.