Krista M Wills, MD

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

86147 Issued in NM

Practice address

201 Cedar St SE Ste 507
PMG OB Hospitalist
Albuquerque, NM 87106-4925

Phone

(505) 563-6381

Fax

(505) 563-6380

NPI assigned

Oct 3, 2006

Last updated

Jul 16, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1043304439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-5356",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE STE 507",
            "address_2": "PMG OB HOSPITALIST",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064925",
            "telephone_number": "505-563-6381",
            "fax_number": "505-563-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "KRISTA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NM",
            "license": "86147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37440",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan R Willoughby, LCSW
• Wanda Lee Willow O'Rourke, LMT, MMP
• Benjamin Willow, DPT
• James Wills
• John Wills
• Larissa Willsey
• Bryan Willson-Ko
• Brandon Levi Wilmer, FNP-C
• Dana G Wilmot, RN
• Erika Carson Wilmot, LPCC

• Obstetrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Obstetrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.