NICOLE WILLIS (NPI# 1831428143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831428143 |
| Entity Type | Individual |
| Full Name | NICOLE WILLIS |
| Credential | D.O. |
| Practice Address |
15951 Little Axe Drive Norman OK 73026 |
| Mailing Address |
15951 Little Axe Dr. Norman OK 73026 |
| Practice Telephone | 4054470300 |
| Mailing Telephone | 4054470300 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4971 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992354039 | Nicole Willis | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-09-11 |
| 1881066736 | Nicole Willis | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2015-10-30 |
| 1235519307 | Nicole Marie Willis | Specialist | 538 Broadhollow Rd Ste 202, Melville, NY 11747-3668 | 2015-06-04 |
| 1093992539 | Nicole Willis | Chiropractor | 1570 E Heritage Park St, Ste 175, Meridian, ID 83646-6445 | 2008-01-28 |
| 1235331232 | Nicole Rae Willis | Occupational Therapist | 4500 S Washington St - Altru Specialty Center, Grand Forks, ND 58201 | 2007-06-01 |
| Street Address |
15951 LITTLE AXE DRIVE |
| City | NORMAN |
| State | OK |
| Zip Code | 73026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699790543 | Li-si-wi-nwi Health, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 15951 Little Axe Drive, Norman, OK 73026-9001 | 2006-07-13 |
| 1629227897 | Li-si-wi-nwi Health, Inc | Dentist | 15951 Little Axe Drive, Norman, OK 73026-9001 | 2008-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235390907 | Jeremy David King | Optometrist | 15702 East Highway 9, Norman, OK 73026 | 2008-06-24 |
| 1003049123 | Limei Yang | Psychiatry & Neurology | 15951 Little Axe Dr, Norman, OK 73026 | 2009-08-24 |
| 1306055918 | Danielle L Zelnik | Physical Medicine & Rehabilitation | 15951 Little Axe Dr, Norman, OK 73026 | 2007-05-21 |
| 1427037233 | Carolyn R Stacy | Nurse Practitioner | 15951 Little Axe Dr, Norman, OK 73026 | 2006-01-10 |
| 1750897518 | Living Hope Eating Disorder Treatment Center, Pllc | Clinic/Center | 3900 E Robinson St, Norman, OK 73026-0725 | 2017-12-15 |
| 1649757212 | Jarrod Boersma | Case Manager/Care Coordinator | 5935 Cardinal Ln, Norman, OK 73026-0821 | 2018-07-25 |
| 1386295624 | Beverly Stash | Technician | 822 Flaming Oaks Dr, Norman, OK 73026-0858 | 2019-09-27 |
| 1750310546 | Joan Kneedler Berryhill | Occupational Therapist | 900 Olde Oak Ct, Norman, OK 73026-0899 | 2006-07-02 |
| 1316142763 | Nickolate Lorenzen | Lodging | 1719 Quail Creek Dr, Norman, OK 73026-0943 | 2007-06-17 |
| 1821619040 | Ruha Astani | Student in an Organized Health Care Education/Training Program | 2003 Forest Rd, Norman, OK 73026-0974 | 2020-04-28 |
| Find all providers in zip 73026 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467552596 | Thomas W Thurston | Pediatrics | 900 North Porter Ave, Suite 108, Norman, OK 73071 | 2006-09-25 |
| 1013960376 | Thomas Louis Kuhls | Pediatrics | 808 Wall St, Norman, OK 73069-6302 | 2006-05-18 |
| 1255335527 | Victor Thomas Wilson | Pediatrics | 700 Wall St, Norman, OK 73069-6360 | 2005-06-02 |
| 1073094918 | Elizabeth Anne Eaton | Pediatrics | 3261 24th Ave Nw Ste 101, Norman, OK 73069-6666 | 2018-08-28 |
| 1407110158 | Cynthia West | Pediatrics | 500 E Robinson St, Ste 2600, Norman, OK 73071-6697 | 2012-06-27 |
| 1700046273 | Brian Thomas Ellis | Pediatrics | 500 E Robinson St, Ste 2600, Norman, OK 73071-6697 | 2008-06-09 |
| 1043354228 | Premiere Pediatrics Pllc | Pediatrics | 500 E Robinson St, Suite 2600, Norman, OK 73071-6697 | 2007-02-19 |
| 1477633121 | Victor T. Wilson Md PC | Pediatrics | 700 Wall St, Norman, OK 73069-6360 | 2006-10-17 |
| 1770673600 | James E Fields | Pediatrics | 500 E Robinson St, Suite 2600, Norman, OK 73071-6697 | 2006-10-13 |
| 1972692127 | Eileen M Fox | Pediatrics | 500 E Robinson St, Suite 2600, Norman, OK 73071-6697 | 2006-10-12 |
| Find all providers in NORMAN | ||||
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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.