Sharon Leitzel Willis, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

448756 Issued in CA

Practice address

955 La Paz Rd
Santa Barbara, CA 93108-1023

Phone

(805) 565-6164

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Isla Vista, CA
  • NPI 1265458434
  Medicare reassignment NPD
• Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1063438232
  NPD
• Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Santa Barbara, CA
  • NPI 1346066826
  NPD
• Santa Barbara Neighborhood Clinics

  • Federally Qualified Health Center (FQHC)
  • Isla Vista, CA
  • NPI 1942487848
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1053729012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E COTA ST FL 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011624",
            "telephone_number": "805-617-7850",
            "fax_number": "805-963-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LA PAZ RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931081023",
            "telephone_number": "805-565-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SHARON",
        "middle_name": "LEITZEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95000838",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "448756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maude Williamson
• Joan Willicombe, M.A., PHD, LMFT
• Sophia Willis-Conger, LMFT
• Judith A Willis, M.D.
• Paul S Willis, M.D.
• Derrick Willsey, M.D.
• Avery Wilmanns, M.D.
• Natalie Leora Wils
• Brett Wilson II, M.D.
• Eva Margareta Wilson, PH.D.

• Primary Care Nurse Practitioner in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.