JAMES L WILLIS JR. (NPI# 1528512696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528512696 |
| Entity Type | Individual |
| Full Name | JAMES L WILLIS JR. |
| Credential | R.N. |
| Practice Address |
505 S Main St Ste 249 Las Cruces NM 88001-1243 |
| Mailing Address |
6870 Alhambra Ct Las Cruces NM 88007-8952 |
| Practice Telephone | 5755275884 |
| Practice Fax Number | 5755275886 |
| Mailing Telephone | 5756441849 |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2016-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
R65845 | NM | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820881 | James Edwin Willis | Registered Nurse | 6057 W 41st Ave, Kennewick, WA 99338-0036 | 2020-04-21 |
| 1225308554 | James Robert Willis | Radiology | 56 Riverdale Dr, Covington, LA 70433-4523 | 2012-01-03 |
| 1104969807 | James Stewart Willis IIi | Counselor | 600 Jackson, Rappahannock Area Community Services Board, Fredericksburg, VA 22401 | 2007-02-14 |
| 1669536066 | James Timothy Willis | Chiropractor | 403 N Crawford St, Thomasville, GA 31792-5128 | 2006-12-20 |
| 1538153127 | James Allen Willis | Anesthesiology | 11971 Heritage Oak Pl, Auburn, CA 95603-2461 | 2005-09-09 |
| 1154322915 | James L. Willis | Family Medicine | 1741 David Walker Dr, Tavares, FL 32778-5745 | 2005-08-02 |
| 1720084064 | James B Willis | Dentist | 102 1st Ave E, Polson, MT 59860-2335 | 2005-06-22 |
| 1982186268 | James Willis | Specialist/Technologist | 133 N River St, City of Wilkes Barre, PA 18702-2404 | 2018-09-03 |
| 1821447699 | James Willis | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-06-12 |
| 1700286218 | James Leslie Willis | Emergency Medical Technician, Paramedic | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-03 |
| Street Address |
505 S MAIN ST STE 249 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-1243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851301857 | Las Cruces School District No. 2 | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2006-08-09 |
| 1205443835 | Jaimie Dawn Jones | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-09-28 |
| 1942811054 | Shayla Blackwood | Speech-Language Pathologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-08-12 |
| 1225648744 | Hailey Lynne O'daniel | Speech-Language Pathologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-08-10 |
| 1073124533 | Lydia Franziska Harrison | Speech-Language Pathologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-08-10 |
| 1376153924 | Taralyn Marie Trujillo | Speech-Language Pathologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-08-07 |
| 1548870181 | Samantha Homan | Speech-Language Pathologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-08-07 |
| 1205467776 | Sandra Guzman | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-02-03 |
| 1306486246 | Rebekah Elaine Jones | Registered Nurse | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-01-08 |
| 1649812751 | Yvonne Dominguez | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1649627803 | Nicole Lucero | Registered Nurse | 3400 Elks Dr, Las Cruces, NM 88005-1120 | 2016-05-18 |
| 1134542186 | Dawn Loree Schallock | Registered Nurse | 4675 Peachtree Hills Rd., Las Cruces, NM 88012 | 2014-01-28 |
| 1396166070 | Joyce Anglin | Registered Nurse | 505 S.main. Ste 249, Las Cruces, NM 88001 | 2013-12-23 |
| 1962823914 | Brandi Gorzeman | Registered Nurse | 505 S. Main, Las Cruces, NM 88001 | 2013-12-18 |
| 1366863300 | Teofilo Aguilar Carrasco Iv | Registered Nurse | 226 Carver Rd, Las Cruces, NM 88005-3544 | 2013-12-18 |
| 1255752200 | Melody Stryker | Registered Nurse | 5300 Holman Rd, Las Cruces, NM 88012-7004 | 2013-12-18 |
| 1659792653 | Kristine Kay Hanson | Registered Nurse | 1700 Spruce Ave, Las Cruces, NM 88001-2445 | 2013-12-18 |
| 1619398617 | Leah Wallis | Registered Nurse | 4201 Northrise Dr., Las Cruces, NM 88011 | 2013-12-18 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.