PATRICIA ANN WILLIS (NPI# 1720250384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720250384 |
| Entity Type | Individual |
| Full Name | PATRICIA ANN WILLIS |
| Credential | RN |
| Practice Address |
3458 Westwood Dr Salt Lake City UT 84109-3239 |
| Practice Telephone | 8012788975 |
| Mailing Telephone | 8012788975 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 198463-3102 | UT | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DOPL - REGISTERED NURSE | 198463-3102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111009 | Patricia Willis | Licensed Practical Nurse | 18650 Lauder St, Detroit, MI 48235-2758 | 2018-04-06 |
| 1851564660 | Patricia Lorraine Willis | Speech-Language Pathologist | 1108 Grant St, Waukesha, WI 53186-6321 | 2008-04-12 |
| 1386869329 | Patricia Hutcheson Willis | Physical Therapist | 147 Roe Hampton Ln, Stone Mountain, GA 30087-2503 | 2007-04-16 |
| 1811062359 | Patricia Willis | Respite Care | 541 N Lewis, Mesa, AZ 85201-5910 | 2006-11-21 |
| 1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
| 1720565120 | Patricia M. Willis | Pharmacist | 80 Town Line Rd, Rocky Hill, CT 06067-1249 | 2018-07-27 |
| 1538559497 | Patricia Willis | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2015-01-30 |
| 1457752628 | Patricia Ann Willis | Nurse Practitioner | 915 N Grand Blvd, Saint Louis, MO 63106-1621 | 2014-09-08 |
| 1255762225 | Patricia Willis | Social Worker | 10 Peterboro St, Detroit, MI 48201-2722 | 2013-12-02 |
| 1871620583 | Patricia Ann Willis | Psychologist | 43740 N Groesbeck Hwy, Clinton Twp, MI 48036-1139 | 2007-02-28 |
| Street Address |
3458 WESTWOOD DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84109-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006678 | Michelle Pineda | Registered Nurse | 2672 S Glenmare St, Salt Lake City, UT 84106-3606 | 2020-08-31 |
| 1982228276 | Rebecca Cuniberti | Registered Nurse | 3247 E 3925 S, Salt Lake City, UT 84124-2147 | 2020-06-02 |
| 1992329288 | Willard Robert Davis | Registered Nurse | 2150 S Main St Ste 406, Salt Lake City, UT 84115-2678 | 2020-06-02 |
| 1255955571 | Molly C Asper | Registered Nurse | 1170 E Westminster Ave Apt A, Salt Lake City, UT 84105-3514 | 2020-06-02 |
| 1538783949 | Stacie Michelle Ireland | Registered Nurse | 3402 E Stonehill Ln, Salt Lake City, UT 84121-5864 | 2020-06-01 |
| 1518509637 | Connie Russell | Registered Nurse | 1205 E Bonner Way, Salt Lake City, UT 84117-4917 | 2019-10-09 |
| 1578115903 | Jennifer Renea Mccullough | Registered Nurse | 667 S 900 E, Salt Lake City, UT 84102-3418 | 2019-07-16 |
| 1497307979 | Josephine Fulmer | Registered Nurse | 265 E Hubbard Ave, Salt Lake City, UT 84111-4615 | 2019-07-15 |
| 1437701885 | Mikyla Davis | Registered Nurse | 6896 S Greenfield Way, Salt Lake City, UT 84121-3015 | 2019-07-15 |
| 1477115491 | Joseph Alexander Weimer | Registered Nurse | 2079 S 1200 E Unit 409, Salt Lake City, UT 84105-3584 | 2019-06-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
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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.