DR. HEATHER NICOLE WILLIS (NPI# 1619121944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619121944 |
| Entity Type | Individual |
| Full Name | DR. HEATHER NICOLE WILLIS |
| Credential | PSY.D. |
| Practice Address |
Blanchfield Army Community Hospital 650 Joel Dr Ft Campbell KY 42223-5318 |
| Mailing Address |
4555 Trousdale Dr Nashville TN 37204-4513 |
| Practice Telephone | 2707988388 |
| Practice Fax Number | 6157818262 |
| Mailing Telephone | 6157813000 |
| Mailing Fax Number | 6157818262 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 2815 | TN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
129385 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467825570 | Heather Willis | Day Training/Habilitation Specialist | 311 Charleston Dr Lot 17, Cave City, AR 72521-8847 | 2015-11-11 |
| 1235383381 | Heather Lynn Willis | Urology | 1202 North Center Street, Hickory, NC 28601-3760 | 2008-11-14 |
| 1528626934 | Heather Willis | Pharmacist | 1160 S Belmont Ave, Okmulgee, OK 74447-6308 | 2019-05-31 |
| 1700347424 | Heather Bersaluna Willis | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-03-26 |
| 1013467281 | Heather Lynette Willis | Counselor | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2016-10-11 |
| 1437403292 | Heather L Willis | Counselor | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 | 2012-11-01 |
| 1215284096 | Heather Marie Willis | Physician Assistant | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 | 2012-08-10 |
| 1841475159 | Heather Ann Willis | Dentist | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2008-01-04 |
| Street Address |
BLANCHFIELD ARMY COMMUNITY HOSPITAL 650 JOEL DR |
| City | FT CAMPBELL |
| State | KY |
| Zip Code | 42223-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347075 | Joshua John Stein | Emergency Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223 | 2016-02-29 |
| 1700243441 | Kevin Edward Kearney | Student in an Organized Health Care Education/Training Program | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223 | 2016-01-26 |
| 1619114709 | Ronald Lee Milam Jr. | Nurse Anesthetist, Certified Registered | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223 | 2009-01-12 |
| 1013983543 | Eric Wilhelm Berg IIi | Pathology | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223-5349 | 2006-02-24 |
| 1982670428 | Susan Marie Vail | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223-5349 | 2006-02-24 |
| 1376519041 | Vernon Garfield Thomas | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223-5349 | 2006-02-23 |
| 1194791897 | Sandra Kay Cannon | Counselor | Blanchfield Army Community Hospital, 650 Joel Drive, Ft Campbell, KY 42223-5349 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486230 | Angie Fabiola Hernandez | Psychologist | 1009 Fisk Ct, Lexington, KY 40511-8369 | 2020-10-26 |
| 1548869084 | Skaggs Consulting, Pllc | Psychologist | 501 Darby Creek Rd Ste 41, Lexington, KY 40509-1671 | 2020-10-24 |
| 1467050856 | Tyler J Ryan | Psychologist | 4220 Houston Rd, Erlanger, KY 41018-3402 | 2020-10-16 |
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1396377164 | Mariya Leyderman | Psychologist | 974 Breckenridge Ln # 171, Louisville, KY 40207-4619 | 2020-02-10 |
| 1841821196 | Sally Losson Brenzel | Psychologist | 10503 Timberwood Cir Ste 205, Louisville, KY 40223-5395 | 2020-01-27 |
| 1760948939 | True North Counseling & Development, Pllc | Psychologist | 2220 Executive Dr Ste 202, Lexington, KY 40505-4872 | 2019-02-13 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1902377864 | Green Meadows Wellness Center One, LLC | Psychologist | 1640 Meadow Creek Rd, Rockholds, KY 40759-9563 | 2018-12-17 |
| 1093299299 | Kallye Joanah Renner | Psychologist | 7426 Us 42 Ste 106, Florence, KY 41042-2056 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
| City | FT CAMPBELL |
| Zip Code | 42223 |
Please comment or provide details below to improve the information on DR. HEATHER NICOLE 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.