PATRICIA WILLIS (NPI# 1811062359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811062359 |
| Entity Type | Individual |
| Full Name | PATRICIA WILLIS |
| Practice Address |
541 N Lewis Mesa AZ 85201-5910 |
| Practice Telephone | 4805933803 |
| Mailing Telephone | 4805933803 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
9482 | AZ | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS ID NUMBER | 916182 | 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 |
| 1720250384 | Patricia Ann Willis | Registered Nurse | 3458 Westwood Dr, Salt Lake City, UT 84109-3239 | 2008-03-24 |
| 1386869329 | Patricia Hutcheson Willis | Physical Therapist | 147 Roe Hampton Ln, Stone Mountain, GA 30087-2503 | 2007-04-16 |
| 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 |
541 N LEWIS |
| City | MESA |
| State | AZ |
| Zip Code | 85201-5910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| Taxonomy Code | 385HR2055X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Illness, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955254 | Ceraina Hull | Respite Care | 8430 E Keats Ave, Mesa, AZ 85209-4345 | 2019-07-25 |
| 1912423732 | Red Mountain Behavioral Health Services | Respite Care | 10634 E Posada Ave, Mesa, AZ 85212-1872 | 2017-08-15 |
| 1265859235 | Red Mountain Behavioral Health Services, LLC | Respite Care | 8448 E Lindner Ave, Mesa, AZ 85209-4369 | 2014-03-27 |
| 1568887016 | Red Mountain Behavioral Health Services, LLC | Respite Care | 11231 E. Segura, Mesa, AZ 85212-2427 | 2014-02-20 |
| 1982045654 | Anne Ngigi | Respite Care | 3139 S 82nd Cir, Mesa, AZ 85212-1670 | 2013-07-10 |
| 1740523687 | Red Mountain Behavioral Health Services | Respite Care | 1024 N Arvada, Mesa, AZ 85205-5433 | 2013-03-28 |
| 1104176536 | Zarephath Inc. | Respite Care | 9310 E Princess Dr, Mesa, AZ 85207-4315 | 2012-09-13 |
| 1588914915 | Zarephath Inc. | Respite Care | 11358 E Sonrisa Ave, Mesa, AZ 85212-7077 | 2012-09-13 |
| 1376875930 | Linda Delgardo | Respite Care | 9431 E Coralbell Ave, Mesa, AZ 85208-5801 | 2010-02-08 |
| 1679700272 | Kathy M Siebert Hay | Respite Care | 9065 E Hobart St, Mesa, AZ 85207-4248 | 2009-06-22 |
| Find all providers in MESA | ||||
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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.