JESSICA MARIE WILLIS (NPI# 1487008173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487008173 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE WILLIS |
| Practice Address |
340 Main St Suite 818 Worcester MA 01608-1604 |
| Practice Telephone | 5087914976 |
| Mailing Telephone | 5087914976 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881181824 | Jessica Willis | Lactation Consultant, Non-RN | 10852 Wingate Rd, Jacksonville, FL 32218-4575 | 2018-04-16 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1588003297 | Jessica Erin Willis | Family Medicine | 99 Doctors Drive, Suite #700, Munford, TN 38058-6303 | 2013-06-17 |
| 1023639457 | Jessica Willis | Nurse Practitioner | 659 Auburn Ave Ne, Atlanta, GA 30312-5412 | 2020-04-27 |
| 1992233746 | Jessica K Willis | Counselor | 100 Hazel Path, Hendersonville, TN 37075-3841 | 2017-05-24 |
| 1891232203 | Jessica Willis | Counselor | 2801 Meadow Lark Dr, San Diego, CA 92123-2709 | 2017-01-23 |
| 1396293833 | Jessica Willis | Nurse Practitioner | 501 Butler Farm Rd, Suite I, Hampton, VA 23666-1777 | 2016-09-13 |
| 1629423330 | Jessica Willis | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2016-05-01 |
| 1689069353 | Jessica Willis | Counselor | 707 Ne Couch St, Portland, OR 97232-2922 | 2015-03-31 |
| 1588057848 | Jessica Marie Willis | Nurse Practitioner | 4315 Memorial Dr, Belleville, IL 62226-5342 | 2015-03-11 |
| Street Address |
340 MAIN ST SUITE 818 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660712 | Karen Lynn St.laurent | Chiropractor | 340 Main St, Ste 510, Worcester, MA 01608-1694 | 2005-12-21 |
| 1033775838 | Simeon Akwasi Asamoah | Counselor | 340 Main St, Worcester, MA 01608-1604 | 2019-05-16 |
| 1306330816 | Alexis Gibbons | Student in an Organized Health Care Education/Training Program | 340 Main St, Worcester, MA 01608-1604 | 2018-06-18 |
| 1033617154 | Benedicta Boateng-abeka | Case Manager/Care Coordinator | 340 Main St, Worcester, MA 01608-1604 | 2018-01-23 |
| 1588170906 | Tatiana King | Social Worker | 340 Main St, Worcester, MA 01608-1604 | 2017-12-21 |
| 1972018083 | Eileen Ann Silva | Counselor | 340 Main St, Worcester, MA 01608-1604 | 2017-12-12 |
| 1952814626 | Dianna Mclaurin | Community Health Worker | 340 Main St, Worcester, MA 01608-1604 | 2017-11-15 |
| 1265944052 | Cameron Michael Mccurdy | Counselor | 340 Main St, 819, Worcester, MA 01608 | 2017-11-02 |
| 1548770571 | Tina Kim Le | Community/Behavioral Health | 340 Main St, Worcester, MA 01608-1604 | 2017-10-04 |
| 1346768439 | Hiliary Lynn Cutress | Marriage & Family Therapist | 340 Main St, Worcester, MA 01608-1604 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661927 | Ekaterina V Pimental | Student in an Organized Health Care Education/Training Program | 72 Salisbury St Apt 5, Worcester, MA 01609-3134 | 2020-05-19 |
| 1841810900 | Charles Purcell | Student in an Organized Health Care Education/Training Program | 80 Carter Rd, Worcester, MA 01609-1038 | 2020-04-19 |
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1982232336 | Min Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr. Biotech 3, Worcester, MA 01605-4306 | 2020-03-31 |
| 1336777952 | Zhenwei Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 2, Worcester, MA 01605-4306 | 2020-03-30 |
| 1932736634 | Gregory Stephen Kazarian | Student in an Organized Health Care Education/Training Program | 2 Marissa Cir, Worcester, MA 01604-2674 | 2020-03-24 |
| 1376178590 | Seungju Oh | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N # S4-740, Worcester, MA 01655-0002 | 2020-03-09 |
| 1962032946 | Samuel James Casey | Student in an Organized Health Care Education/Training Program | 4 Normal St Apt 2, Worcester, MA 01605-3496 | 2020-01-18 |
| 1265072169 | Klajdi Kosovrasti | Student in an Organized Health Care Education/Training Program | 46 Fox Meadow Dr, Worcester, MA 01602-2242 | 2020-01-09 |
| 1669012449 | Jacob Moninghoff | Student in an Organized Health Care Education/Training Program | 16 Norton St Apt 1, Worcester, MA 01605-3780 | 2020-01-09 |
| Find all providers in WORCESTER | ||||
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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.