TANYA RENEE WILLIS (NPI# 1891345070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891345070 |
| Entity Type | Individual |
| Full Name | TANYA RENEE WILLIS |
| Practice Address |
19166 La Quinta Pl Apple Valley CA 92308-2700 |
| Practice Telephone | 7608870477 |
| Mailing Telephone | 7608870477 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
802219 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831441146 | Tanya S Willis | Speech-Language Pathologist | 10815 Old Highway 64, Bolivar, TN 38008-3599 | 2012-10-10 |
| 1306873732 | Tanya Willis | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-28 |
| Street Address |
19166 LA QUINTA PL |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92308-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831850 | Lisa K Frandsen | Behavioral Analyst | 19794 Poppy Rd, Apple Valley, CA 92308 | 2020-08-14 |
| 1518484195 | Jennifer Redwine | Behavioral Analyst | 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 | 2017-08-24 |
| 1508397100 | West Care Transportation | Non-emergency Medical Transport (VAN) | 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 | 2017-03-24 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
| 1043608763 | Kamal Ebadpour | Adult Companion | 13224 Iroquois Road, Apple Valley, CA 92308 | 2015-01-05 |
| 1487099669 | Hateem Siddiqui | Internal Medicine | 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 | 2013-05-01 |
| 1225305618 | Edward N. Sianipar | Nurse Practitioner | 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 | 2011-11-29 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
| Find all providers in zip 92308 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720535768 | Joshua Gleghorn | Registered Nurse | 892 Whitney Dr, Apple Valley, MN 55124-9185 | 2016-09-07 |
| 1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
| 1669518353 | Marilyn Ray Shimel | Registered Nurse | 14986 Mandan Rd, Apple Valley, CA 92307-5042 | 2007-01-29 |
| 1215413307 | Katelyn Allison | Registered Nurse | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2018-07-12 |
| 1629554720 | Shellie Jaclyn Montes | Registered Nurse | 17800 Us Highway 18, Apple Valley, CA 92307-1221 | 2018-07-12 |
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|---|---|---|---|---|
| 1619575123 | St Francis Hospice Inc | Registered Nurse | 14545 Friar St # 298, Van Nuys, CA 91411-2397 | 2020-10-16 |
| 1275130759 | Johanna Solorzano | Registered Nurse | 233 Bennington St, San Francisco, CA 94110-5513 | 2020-10-07 |
| 1083211080 | Amy Elizabeth Smith | Registered Nurse | 783 Augusta Dr, Moraga, CA 94556-1007 | 2020-10-03 |
| 1164039012 | Alese Marie Hernandez | Registered Nurse | 24239 Park St, Torrance, CA 90505-6554 | 2020-09-24 |
| 1124632138 | Sarah Anne Boyce | Registered Nurse | 82 N Greenwood Ave, Pasadena, CA 91107-3514 | 2020-09-08 |
| 1750994372 | Rosalyn Lee | Registered Nurse | 410 Crother Rd, Meadow Vista, CA 95722-9431 | 2020-08-24 |
| 1154939163 | Gabriela Carrico | Registered Nurse | 2340 Blue Ridge Ave, Brentwood, CA 94513-4159 | 2020-07-15 |
| 1801412812 | Sylvia Dee Weingarden | Registered Nurse | 22178 Bauhinia Ct, Woodland Hills, CA 91367-7202 | 2020-06-25 |
| 1457976938 | Jerrick Ky Xang Padilla-phu | Registered Nurse | 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 | 2020-06-10 |
| 1952924144 | Teresa Zuzalek | Registered Nurse | 5163 Via Valverde, Santa Barbara, CA 93111-2917 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | APPLE VALLEY |
| Zip Code | 92308 |
Please comment or provide details below to improve the information on TANYA RENEE 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.