ANGELA SOYAD WILLIS (NPI# 1366911927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366911927 |
Entity Type | Individual |
Full Name | ANGELA SOYAD WILLIS |
Credential | NP-C |
Practice Address |
43455 Schoenherr Rd Ste 2 Sterling Heights MI 48313-1972 |
Mailing Address |
15589 Winterpark Dr Macomb MI 48044-3877 |
Practice Telephone | 5867264823 |
Mailing Telephone | 5868727866 |
Enumeration Date | 2018-11-13 |
Last Update Date | 2018-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704307286 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699950089 | Angela Kay Willis | Social Worker | 244 S Chestnut St, Barnesville, OH 43713-1323 | 2008-01-03 |
1013043298 | Angela H. Willis | Contractor | 10102 State Highway 6, Fresno, TX 77545-2022 | 2007-02-24 |
1700347119 | Angela Willis | Behavior Technician | 634 N 12th St, Murray, KY 42071-1651 | 2019-03-28 |
1508382284 | Angela Marie Willis | Case Manager/Care Coordinator | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2017-08-15 |
1821454729 | Angela Willis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2016-01-07 |
1750775607 | Angela Willis | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-03-27 |
1942544952 | Angela Sue Willis | Licensed Practical Nurse | 500 3rd St, West Des Moines, IA 50265-4614 | 2012-11-15 |
1548419195 | Angela Ingrid Willis | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2008-09-18 |
1356569008 | Angela L Willis | Counselor | 5220 W Washington Blvd, Suite 101, Los Angeles, CA 90016-1331 | 2007-04-20 |
1497884118 | Angela Willis | Social Worker | 2150 Whitney Ave, Memphis, TN 38127-6662 | 2007-03-06 |
Street Address |
43455 SCHOENHERR RD STE 2 |
City | STERLING HEIGHTS |
State | MI |
Zip Code | 48313-1972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063514693 | Michael Raad | Internal Medicine | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2006-09-03 |
1801447289 | Kaylee Marie Kromrei | Physician Assistant | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2019-09-26 |
1619525870 | Kristina Marie Recchia-batkins | Nurse Practitioner | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2019-08-30 |
1871067272 | Alexandrea Raad | Physician Assistant | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2019-01-18 |
1982113452 | Kendyl Noel Pochmara | Physician Assistant | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2017-09-27 |
1932637022 | Rachel Tibaudo | Nurse Practitioner | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2017-06-01 |
1912260514 | Antwan Hall | Family Medicine | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2012-06-19 |
1063683886 | Vasilios Gikas | Family Medicine | 43455 Schoenherr Rd Ste 2, Sterling Heights, MI 48313-1972 | 2008-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417435397 | Britany Lee Colonna | Technician/Technologist | 39100 Augusta Ave, Sterling Heights, MI 48313 | 2018-08-01 |
1871012245 | Amy Lechtenberg | Midwife | 42248 Montroy Dr, Sterling Heights, MI 48313 | 2017-09-16 |
1770012064 | Emily Bedy | Specialist/Technologist | 15004 Bridgeview Dr, Sterling Heights, MI 48313 | 2017-06-08 |
1801347174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14200 Lakeside Cir, Sterling Heights, MI 48313 | 2016-10-20 |
1225407653 | Diana Hill | Registered Nurse | 433361 Cape Dr, Sterling Heights, MI 48313 | 2015-09-16 |
1104202845 | Xhesika Tasi | Licensed Practical Nurse | 44208 Orchard Ln, Sterling Heights, MI 48313 | 2015-08-05 |
1740698604 | Star Behavior Consultants, LLC | Community/Behavioral Health | 12231 N York Dr, Sterling Heights, MI 48313 | 2014-07-23 |
1215348529 | Care Counseling Solutions LLC | Social Worker | 11945 19 Mile Rd, Sterling Heights, MI 48313 | 2014-05-09 |
1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
1760625776 | Deborah Ann Langlois | Pharmacist | 13500 19 Mile Road, Sterling Heights, MI 48313 | 2009-04-07 |
Find all providers in zip 48313 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154685188 | Sandra Ann Evans | Nurse Practitioner | 38578 Rougewood Dr, Sterling Heights, MI 48312-1308 | 2012-06-25 |
1255976288 | Ariane Kennedy | Nurse Practitioner | 8244 Metro Pkwy Ste C, Sterling Heights, MI 48312-2778 | 2019-11-13 |
1518529122 | Silvia Matti | Nurse Practitioner | 44650 Delco Blvd, Sterling Heights, MI 48313-1063 | 2019-07-03 |
1619466216 | Jacqueline Marie Brewer | Nurse Practitioner | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2018-05-09 |
1255763678 | Carrie Nicole Evatz | Nurse Practitioner | 5456 15 Mile Rd, Sterling Heights, MI 48310-5110 | 2013-08-08 |
1962755058 | Kristina Cunningham | Nurse Practitioner | 5456 15 Mile Rd, 101, Sterling Heights, MI 48310-5110 | 2012-10-26 |
1467533786 | Kathryn Louise Smith | Nurse Practitioner | 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
Find all providers with the same taxonomy |
City | STERLING HEIGHTS |
Zip Code | 48313 |
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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.