KATHERINE OTECCA WILLS (NPI# 1609487099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609487099 |
| Entity Type | Individual |
| Full Name | KATHERINE OTECCA WILLS |
| Credential | AGACNP-BC |
| Practice Address |
3801 N Lamar Blvd Austin TX 78756-4080 |
| Mailing Address |
1011 E 5th St Apt 1551 Austin TX 78702-4067 |
| Practice Telephone | 5124077000 |
| Mailing Telephone | 5732898399 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
AP143657 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596638 | Katherine A Wills | Physical Medicine & Rehabilitation | 95-1057 Ainamakua Dr Ste 11, Mililani, HI 96789-6310 | 2019-09-09 |
| Street Address |
3801 N LAMAR BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78756-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538169644 | Mark F. Picone | Internal Medicine | 3801 N Lamar Blvd, Ste. 300, Austin, TX 78756-4080 | 2005-07-29 |
| 1972135887 | Arlonzo E. Childress Jr. | Nurse Practitioner | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2020-02-08 |
| 1942661640 | Magan Gonzalez | Nurse Practitioner | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2016-03-09 |
| 1548631153 | Kara Deshon | Nurse Practitioner | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2015-10-08 |
| 1114268158 | Nicole L Atack | Nurse Anesthetist, Certified Registered | 3801 N Lamar Blvd, Austin, TX 78756-4080 | 2013-03-14 |
| 1154619344 | Rebecca Elizabeth Brown | Nurse Practitioner | 3801 N Lamar Blvd, Ste. 300, Austin, TX 78756-4080 | 2011-07-21 |
| 1386939452 | James F Leitera | Nurse Practitioner | 3801 N Lamar Blvd, Suite 300, Austin, TX 78756 | 2011-06-16 |
| 1952618704 | Laura C Calais | Clinical Nurse Specialist | 3801 N Lamar Blvd, Suite 300, Austin, TX 78756-4080 | 2010-08-31 |
| 1528389558 | Cristina Marie Hodgkiss | Nurse Practitioner | 3801 N Lamar Blvd, Suite 300, Austin, TX 78756-4080 | 2010-06-14 |
| 1144452129 | Emlyn Pamintuan Roesler | Clinical Nurse Specialist | 3801 N Lamar Blvd, Suite 300, Austin, TX 78756-4080 | 2009-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911347 | Sjel Diagnostics of Austin, Pllc | Electrodiagnostic Medicine | 3800 North Lamar Blvd Suite 200, Austin, TX 78756 | 2020-10-27 |
| 1801377874 | Rachel Gabriela Valdez | Counselor | 1508 North Street, Austin, TX 78756 | 2018-08-27 |
| 1225537111 | Lydian Dental Burnet Pllc | Dentist | 5531 Burnet Rd, Austin, TX 78756 | 2018-02-06 |
| 1508306432 | Quinton Dailey | Physical Therapist | 4000 Medical Pkwy Ste 100, Austin, TX 78756 | 2017-02-25 |
| 1316495757 | Nicole Williams Counseling | Clinic/Center | 3906 North Lamar Blvd, Suite 204 D, Austin, TX 78756 | 2016-09-14 |
| 1720431554 | John Graham Reed | Dentist | 4106 Marathon Blvd Ste A, Austin, TX 78756 | 2016-07-17 |
| 1720464779 | Kasey D Kuehler | Counselor | 3709 Medical Parkway, Suite 100, Austin, TX 78756 | 2015-07-31 |
| 1720497126 | Holly Elizabeth Bullion | Nurse Practitioner | 1101 W 40th St # 102, Austin, TX 78756 | 2014-08-11 |
| 1538506233 | Jessica Swanson | Emergency Medicine | 1400 St North I-35, Suite C2.230, Austin, TX 78756 | 2013-06-04 |
| 1740537836 | Austin Regional Home Care Inc. | Home Health | 3810 Medical Parkway, Suite 115, Austin, TX 78756 | 2012-08-08 |
| Find all providers in zip 78756 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528569753 | Christopher Henry Sutton | Nurse Practitioner | 1500 Red River St, Austin, TX 78701-1918 | 2018-02-22 |
| 1073882205 | Lisa Pomeroy | Nurse Practitioner | 1110 E 32nd St, Austin, TX 78722-2211 | 2011-12-16 |
| 1841588803 | Jodie Reed | Nurse Practitioner | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2011-07-12 |
| 1861412322 | Pulmonary & Critical Care Consultants of Austin, L.l.p. | Nurse Practitioner | 1305 W 34th St, Suite 400, Austin, TX 78705-1923 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969917 | Grace Gathoni Kamau | Nurse Practitioner | 3255 Yeltes, Grand Prairie, TX 75054-7505 | 2020-07-21 |
| 1053943217 | Joeresty Tabujara Abelida | Nurse Practitioner | 5711 Dhaka Vw, San Antonio, TX 78250-4630 | 2020-02-06 |
| 1295377406 | Christan Depaul Russell | Nurse Practitioner | 17202 Kobuk Valley Cir, Humble, TX 77346-2951 | 2019-10-09 |
| 1972078541 | Robert Engle | Nurse Practitioner | 6306 Rincon Way, Dallas, TX 75214-2039 | 2018-10-09 |
| 1083141071 | Preethi Antony | Nurse Practitioner | Baylor College of Medicine-baylor St Lukes Medical Gp, 6720 Bertner Avenue, Houston, TX 77030 | 2017-05-22 |
| 1750750030 | Jose Tirso Montecillo | Nurse Practitioner | 2009 Dartmouth Ave, Mcallen, TX 78504-5767 | 2015-09-17 |
| 1770505901 | Nola Sikora Damon | Nurse Practitioner | 3409 Andrews Hwy, Midland, TX 79703-5149 | 2006-07-24 |
| 1417938937 | Julie Gay Loudamy | Nurse Practitioner | 318 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2005-11-10 |
| 1831798685 | Jacob Don Paul | Nurse Practitioner | 3615 19th St, Lubbock, TX 79410-1203 | 2020-10-22 |
| 1376140756 | Sandisiwe Ndlovu | Nurse Practitioner | 6651 Main St, Houston, TX 77030-2351 | 2020-10-08 |
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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.