MRS. SHELBY ERIN WILLIS (NPI# 1760730931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760730931 |
| Entity Type | Individual |
| Full Name | MRS. SHELBY ERIN WILLIS |
| Practice Address |
624 Fairlane Dr Midwest City OK 73110-1626 |
| Practice Telephone | 4056004145 |
| Mailing Telephone | 4056004145 |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1972880300 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | KREATIVE BEHAVIORAL HEALTH SERVICES | 200427950A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807690 | Shelby S Willis | Physical Therapist | 1181 Hwy 432, Slaughter, LA 70777 | 2020-09-25 |
| 1730701251 | Shelby Madolyn Willis | Student in an Organized Health Care Education/Training Program | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2020-05-07 |
| Street Address |
624 FAIRLANE DR |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992204440 | Pamela Arnese Robinson | Case Manager/Care Coordinator | 624 Fairlane Dr, Midwest City, OK 73110-1626 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114419330 | Shitavia Skanes | Counselor | 5710 E Reno Ave, Midwest City, OK 73110-2005 | 2018-06-04 |
| 1992227078 | Charmaine Lashawn Hillard | Counselor | 10400 Caton Pl, Midwest City, OK 73130-1633 | 2017-07-11 |
| 1285179473 | Christina Austin | Counselor | 2801 Parklawn Dr Ste 201, Midwest City, OK 73110-4229 | 2016-12-27 |
| 1811431687 | Kevon Owen | Counselor | 804 Fairlane Dr, Midwest City, OK 73110-1630 | 2016-12-13 |
| 1811443872 | Brittney Coulter | Counselor | 6267 E Reno Ave, Apt A, Midwest City, OK 73110-2059 | 2016-08-30 |
| 1770976268 | Tammy Lozano | Counselor | 9409 Ne 13th St, Midwest City, OK 73130-1211 | 2015-03-09 |
| 1518371095 | Deanna Gaines | Counselor | 11611 Elmhurst Dr, Midwest City, OK 73130-8431 | 2014-06-12 |
| 1669890869 | Natasha Broadie | Counselor | 302 Hudson Pl, Midwest City, OK 73110-7755 | 2014-04-03 |
| 1659707040 | Nealett Henderson | Counselor | 3816 Rosewood Ct, Midwest City, OK 73110-3456 | 2013-09-18 |
| 1043644362 | Karen Hood | Counselor | 305 E Kittyhawk Dr, Midwest City, OK 73110-5309 | 2013-08-22 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
Please comment or provide details below to improve the information on MRS. SHELBY ERIN 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.