MRS. JOHONDA L WILLIS


Address: 6600 Crest Ave, Saint Louis, MO 63130-2604
Phone: 3143238623

MRS. JOHONDA L WILLIS (NPI# 1962810416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962810416
Entity Type Individual
Full Name MRS. JOHONDA L WILLIS
Practice Address 6600 Crest Ave
Saint Louis
MO 63130-2604
Practice Telephone 3143238623
Mailing Telephone 3143238623
Enumeration Date 2014-07-29
Last Update Date 2014-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
2011021217 MO Nursing Service Providers

Office Location

Street Address 6600 CREST AVE
City SAINT LOUIS
State MO
Zip Code 63130-2604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568008282 Latrece Smith Social Worker 1270 North and South Road, St. Louis, MO 63130 2019-11-18
1134602576 Hatfill & Boothe Corp Chore Provider 7819 Olive Blvd, St Louis, MO 63130 2018-09-12
1285152041 Above and Beyond Home Health Cares Corporation In Home Supportive Care 7251 Olive, St Louis, MO 63130 2017-08-31
1780114918 Deborah Ann Zorensky Dietitian, Registered 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 2017-06-20
1548612419 Bella Home Care LLC In Home Supportive Care 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 2016-07-05
1225487341 Daniel Shenderov Chore Provider 8127 Delmar Blvd #208, Saint Louis, MO 63130 2016-06-09
1497012322 A Better Choice Homecare, Inc In Home Supportive Care 606 North and South Road, Suite 200, Saint Louis, MO 63130 2012-04-17
1306150958 Lisa J. Mcdonald, Dmd, Inc. Dentist 7247 Delmar Boulevard, St Louis, MO 63130 2010-08-05
1114247939 United Care Service LLC Non-emergency Medical Transport (VAN) 8147 Delmar Blvd. #2, St.louis, MO 63130 2010-06-03
1770759771 Reynold's Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7460 Cornell Ave, Saint Louis, MO 63130 2008-04-30
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285277582 Stephen Carew Registered Nurse 3000 Lafayette Ave Apt 5a, Saint Louis, MO 63104-1440 2019-10-20
1871901967 Angelia Mack Registered Nurse 1907 1/2 Semple Ave, Saint Louis, MO 63112-4307 2014-08-01
1255756482 Kathleen Zervas Registered Nurse 5125 Crosswood Dr, Saint Louis, MO 63129-2408 2014-02-25
1780206797 Katie Marie Miley Registered Nurse 10420 Old Olive Street Rd Ste 205, Saint Louis, MO 63141-5937 2020-05-12
1194263517 Karen Michelle Davis Registered Nurse 1430 Olive St, Saint Louis, MO 63103-2303 2017-02-06
1356888663 Andrew Claywell Registered Nurse 5300 Arsenal St, Saint Louis, MO 63139-1463 2017-01-24
1003268152 Jessica L Thompson Registered Nurse 1430 Olive St, 500, Saint Louis, MO 63103-2303 2016-07-12
1083082390 Gloria Adzamli Registered Nurse 1430 Olive St, 500, Saint Louis, MO 63103-2303 2015-09-03
1699937995 Kirk Alan Hughes Registered Nurse 343 S Kirkwood Rd, Saint Louis, MO 63122-6195 2008-06-27
1588821912 Janis Ann Bathe Registered Nurse 343 S Kirkwood Rd, Saint Louis, MO 63122-6195 2008-05-22
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Competitor

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City SAINT LOUIS
Zip Code 63130

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Dataset Information

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.

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