Kirsti F Willis, RN, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN9367661 Issued in FL

Practice address

801 E 6TH St
Suite 604
Panama City, FL 32401-3661

Phone

(850) 770-3030

Fax

(850) 770-3035

NPI assigned

Sep 27, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay County Health System LLC

  • Surgery Physician
  • Panama City, FL
  • NPI 1225229834
  NPD (past)
• Bay County Health System LLC

  • Emergency Medicine Physician
  • Panama City, FL
  • NPI 1609827856
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1023567450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CENTRAL TEXAS EXPY",
            "address_2": "SUITE 210",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482079",
            "telephone_number": "254-618-4933",
            "fax_number": "254-618-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 6TH ST",
            "address_2": "SUITE 604",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013661",
            "telephone_number": "850-770-3030",
            "fax_number": "850-770-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KIRSTI",
        "middle_name": "F",
        "credential": "RN, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9367661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Williams, IDMT
• Tia M. Williams, MSW, RCSWI
• Twyla Williams
• Thomas Carl Williamson, A.R.N.P.
• Christopher L Willingham, M.D.
• Monte Revell Willis
• Terrie Willis, OT
• Willowdean D. Tiller, Inc.
• Cynthia Leigh Wilson, PSYD
• Felicia Loe Wilson, LMHC

• Registered Nurse First Assistant in Panama City, FL
• Providers in Panama City, FL by specialty
• Registered Nurse First Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.