KRYSTAL DAWN WILLIS (NPI# 1508404419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508404419 |
| Entity Type | Individual |
| Full Name | KRYSTAL DAWN WILLIS |
| Credential | CMA |
| Practice Address |
2821 H St Bakersfield CA 93301-1913 |
| Practice Telephone | 6615466365 |
| Mailing Telephone | 6615466365 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2821 H ST |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93301-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982737474 | Hillary Samantha Marshall | Social Worker | 2821 H St, Bakersfield, CA 93301-1913 | 2007-03-13 |
| 1912508250 | Samantha Paquette | Marriage & Family Therapist | 2821 H St, Bakersfield, CA 93301-1913 | 2020-11-03 |
| 1851901862 | Stephany Castillo-vasquez | Case Manager/Care Coordinator | 2821 H St, Bakersfield, CA 93301-1913 | 2020-08-04 |
| 1609490325 | Emily Anne Johnson | Marriage & Family Therapist | 2821 H St, Bakersfield, CA 93301-1913 | 2020-05-29 |
| 1699395319 | Kathleen Rebecca Viramontes | Counselor | 2821 H St, Bakersfield, CA 93301-1913 | 2020-04-22 |
| 1487280863 | Courtney Parker | Case Manager/Care Coordinator | 2821 H St, Bakersfield, CA 93301-1913 | 2020-03-18 |
| 1215560172 | Amanda Witt | Peer Specialist | 2821 H St, Bakersfield, CA 93301-1913 | 2020-02-19 |
| 1528606563 | Destiny Tianna Ruiz | Licensed Vocational Nurse | 2821 H St, Bakersfield, CA 93301-1913 | 2019-12-19 |
| 1770137879 | Geoffrey Erik Sherrell | Marriage & Family Therapist | 2821 H St, Bakersfield, CA 93301-1913 | 2019-07-26 |
| 1568021798 | Wilbur Glenn Ampey IIi | Case Manager/Care Coordinator | 2821 H St, Bakersfield, CA 93301-1913 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389528 | Tsoguik Broutian | Case Manager/Care Coordinator | Kern County Superintendent of Schools, 1300 17th St., Bakersfield, CA 93301 | 2020-09-08 |
| 1124665559 | Flourish Family Wellness Psychological Services, Inc. | Marriage & Family Therapist | 1909 16th Street, Suite 7, Bakersfield, CA 93301 | 2019-12-04 |
| 1063066231 | Alexandra Moo | Case Manager/Care Coordinator | 1415 Trutun Ave, Bakersfield, CA 93301 | 2019-07-26 |
| 1245898659 | Michael Dean Sampley | Marriage & Family Therapist | 2025 Westwind Dr. Ste. A, Bakersfield, CA 93301 | 2019-05-31 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1689140741 | Prism Pain and Spine, Inc | Physical Medicine & Rehabilitation | 3838 San Dimas, Ste., 3838 San Dimas,ste. B-231, Bakersfield, CA 93301 | 2018-10-16 |
| 1215437678 | Andria Sousa | Behavior Technician | 2535 16th St Ste 215&210, Bakersfield, CA 93301 | 2018-02-12 |
| 1003329889 | County of Kern | Clinic/Center | 820 34th Street, Suite 100,201,202, 203, Bakersfield, CA 93301 | 2017-11-15 |
| 1306358577 | Ashley Marie Pereida | Case Manager/Care Coordinator | 3300 Truxtun Ave. Suite 200, Bakersfield, CA 93301 | 2017-10-28 |
| 1982123113 | Amber Freer Hayes | Licensed Vocational Nurse | 2001, 28th Street, Bakersfield, CA 93301 | 2017-09-19 |
| Find all providers in zip 93301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194074948 | Braden Michael Bowles | Physician Assistant | 8327 Brimhall Rd Ste 702, Bakersfield, CA 93312-4051 | 2012-09-06 |
| 1477852424 | Aide Brito-nadjmabadi | Physician Assistant | 10300 Finchley Dr, Bakersfield, CA 93311-3506 | 2011-03-16 |
| 1073825519 | Jason Arthington | Physician Assistant | 701 Francis St, Bakersfield, CA 93308-2803 | 2010-07-13 |
| 1447483318 | Stephanie Ann Foe | Physician Assistant | 5900 Alfred Harrell Hwy, Bakersfield, CA 93308-9651 | 2009-08-26 |
| 1194980920 | Amandeep Kaur | Physician Assistant | 3940 San Dimas St, Bakersfield, CA 93301-1458 | 2008-07-21 |
| 1174657514 | Eural E. Gordon | Physician Assistant | 7400 District Blvd Ste C, Bakersfield, CA 93313-4818 | 2007-03-16 |
| 1043245418 | Rebecca Jane Jett | Physician Assistant | 9001 S H St, Bakersfield, CA 93307-5948 | 2006-07-12 |
| 1790710655 | Stephen H Hanson | Physician Assistant | 9530 Hageman Rd B-204, California Pa Staffing Inc, Bakersfield, CA 93312-3959 | 2006-07-11 |
| 1376576256 | Robert Nori Brennan | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2006-07-07 |
| 1306819552 | Mukesh Patel | Physician Assistant | 3008 Sillect Ave Ste 100, Bakersfield, CA 93308-6360 | 2006-02-08 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93301 |
Please comment or provide details below to improve the information on KRYSTAL DAWN 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.