SUSAN M. WILLIS


Address: 7205 Lake Mead Blvd, Arlington, TX 76016-4137
Phone: 8175639211

SUSAN M. WILLIS (NPI# 1619975448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619975448
Entity Type Individual
Full Name SUSAN M. WILLIS
Credential CRNA
Practice Address 7205 Lake Mead Blvd
Arlington
TX 76016-4137
Mailing Address Po Box 840853 Ste 600
Dallas
TX 75284-4823
Practice Telephone 8175639211
Mailing Telephone 9727155000
Enumeration Date 2005-07-14
Last Update Date 2020-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered AP101864 TX Physician Assistants & Advanced Practice Nursing Providers
N 367500000X Nurse Anesthetist, Certified Registered 542468 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BLUE CROSS BLUE SHIELD 89479C 01
TX 126080404 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6606 Lyndon B Johnson Fwy Ste 200, Dallas, TX 752406524 9722331999

Other Providers SUSAN WILLIS

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1669956553 Susan Willis Pharmacist 712 Highway 371, Mooreville, MS 38857-7356 2018-09-18
1043315187 Susan Willis Psychiatry & Neurology 3123 Fairview Ave E, Seattle, WA 98102-3051 2006-09-13
1689627945 Susan Elizabeth Willis Psychologist 1066 W 4th St, Winston-salem, NC 27101-2434 2006-05-18
1417415340 Susan R Willis Counselor 3086 State Route 160, Gallipolis, OH 45631-8409 2019-03-11
1528422938 Susan Willis Counselor 6 Roberts Rd, Asheville, NC 28803-8699 2016-04-12
1396080396 Susan Donna Willis Nurse Practitioner 6608 Mercy Ct Ste C, Fair Oaks, CA 95628-3171 2012-12-01
1316268832 Susan Diane Willis Marriage & Family Therapist 3951 Performance Dr, Suite #g, Sacramento, CA 95838-3264 2010-06-18
1467652180 Susan E Willis Psychologist 1625 The Alameda, Suite 404, San Jose, CA 95126-2220 2007-07-20
1578685780 Susan Amy Willis Counselor 599 Canal St, Lawrence, MA 01840-1244 2007-04-06
1346304557 Susan E Willis Registered Nurse 4000 Jennings Station Rd, Saint Louis, MO 63121-3323 2006-12-21

Office Location

Street Address 7205 LAKE MEAD BLVD
City ARLINGTON
State TX
Zip Code 76016-4137

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427655646 Kristin Allison Healer Counselor 5614 Arbor Valley Drive, Arlington, TX 76016 2020-10-01
1720564040 Malesco LLC Durable Medical Equipment & Medical Supplies 2805 W. Arkansas Ln #300, Arlington, TX 76016 2018-07-19
1174034623 Stat Trauma & Surgical Services, Pllc Surgery 6 Garden Ln, Arlington, TX 76016 2017-10-23
1689197626 Ortho Pain Solutions, LLC Durable Medical Equipment & Medical Supplies 2805 W Arkansas Ln Ste 300, Arlington, TX 76016 2017-07-21
1710382924 Christopher Matthew Lemoine Specialist/Technologist 4501 W. Pleasant Ridge, Martin High School, Arlington, TX 76016 2014-10-30
1073936993 Dariush Alirezaieyan Specialist/Technologist, Other 6601 Johns Crt, Arlington, TX 76016 2014-01-29
1063768380 Melissa Kathleen Zawisza Social Worker 6311 Millwood Ct., Arlington, TX 76016 2012-07-24
1023377421 Walter Ernest Williamson Jr. Surgery 4806 Wooded Acres Drive, Arlington, TX 76016 2012-05-07
1043585615 Jack Henry Arlington, LLC Alzheimer Center (Dementia Center) 2300 Little Rd, Arlington, TX 76016 2012-03-15
1568608420 Keorric Lamont Holiday Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3705 Fort Hunt Drive, Arlington, TX 76016 2008-12-26
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1801333984 Kathleen Mabis Nurse Anesthetist, Certified Registered 1201 N George Mason Dr, Arlington, VA 22205-2539 2017-01-26
1043610520 William Turner Nurse Anesthetist, Certified Registered 7626 Greystone Oaks Ave, Arlington, TN 38002-7518 2014-09-03
1598186348 Marvin Ray Miller Nurse Anesthetist, Certified Registered 13213 S Sego Rd, Arlington, KS 67514-9422 2013-12-20
1609206457 North Star Anesthesia Nurse Anesthetist, Certified Registered 2000 E. Lamar Blvd #400, Arlington, TX 76006 2013-11-14
1649516972 Pinnacle Anesthesia Consultants Pllc Nurse Anesthetist, Certified Registered 800 West Arbrook, Suite 120, Arlington, TX 76015-4316 2012-12-13
1508101650 Jack Pascual Garcia Nurse Anesthetist, Certified Registered 2000 E Lamar Blvd. Ste 400, Mirahealthcare of Texas, Pllc, Arlington, TX 76006 2012-11-30
1477857779 Sherry Lynn Miller Nurse Anesthetist, Certified Registered 2000 E. Lamar Blvd., Ste. 400, Arlington, TX 76006 2010-12-29
1750681680 Nicholas Daniel Cheatham Nurse Anesthetist, Certified Registered 2000 E. Lamar Blvd, Suite 400, Arlington, TX 76006 2010-10-26
1144490830 Margaret Ball Nurse Anesthetist, Certified Registered 2000 East Lamar Blvd., Suite 400, Arlington, TX 76006 2008-03-10
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City ARLINGTON
Zip Code 76016

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Dataset Information

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.

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