Michaele Annette Willis, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

13-45391-102 Issued in KS

Practice address

1301 N 47TH St
Kansas City, KS 66102-1705

Phone

(913) 287-0007

Fax

(913) 287-0354

NPI assigned

Mar 19, 2007

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

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033233366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 5TH ST",
            "address_2": "BOX 968",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660066908",
            "telephone_number": "913-287-0007",
            "fax_number": "913-287-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 47TH ST",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661021705",
            "telephone_number": "913-287-0007",
            "fax_number": "913-287-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MICHAELE",
        "middle_name": "ANNETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KS",
            "license": "13-45391-102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lewis Williams, M.D.
• Bailey Anne Williamson, MD
• Timothy L Williamson, M.D.
• Brayden Willis, D.O.
• Jaleigha Willis
• Roslyn Loraine Wills, TLMSW
• Helen Josephine Wilmes, PHARMD
• Abigail Wilson, OTR
• Andrew Hayward Wilson, DO
• Bailee Wilson, MD

• Adult Psychiatric/Mental Health Registered Nurse in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.