Teresa Halley Willis, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN031851 APO1344 Issued in LA

Practice address

3421 Medical Park Dr
Monroe, LA 71203-2355

Phone

(318) 388-7890

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: teresa.willis.p1@direct.lapaincare.nextgenshare.com

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.

• Arklamiss Surgery Center,LLC

  • Ambulatory Surgical Clinic/Center
  • Monroe, LA
  • NPI 1891724936
  NPD (past)
• Fontenot & McIntosh, LLC

  • Anesthesiology Physician
  • West Monroe, LA
  • NPI 1023062718

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Twin City Anesthesia

  • Specialist
  • West Monroe, LA
  • NPI 1427080480
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1053457176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CHAPMAN JOHNSON RD",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "712258669",
            "telephone_number": "318-547-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 MEDICAL PARK DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032355",
            "telephone_number": "318-388-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "TERESA",
        "middle_name": "HALLEY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN031851 APO1344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900443",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Williams, LPC
• Lyndsey Williamson, LCOTA
• Samantha Danielle Williamson, MA, LRC
• Tara Williamson
• Richard Dennis Willis, DDS
• Tiaira Mikal Willis
• Laura B Willsher, FNP, APRN
• Al-Amin Wilson
• Anna Marie Wilson
• David Wilson

• Certified Registered Nurse Anesthetist in Monroe, LA
• Providers in Monroe, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.