Willowtree Isl

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WILLOWTREE ISL

Practice address

5015 S Cowan Loop
Columbia, MO 65201-9781

Phone

(573) 875-7819

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Lorrie R. Ney

Title

Owner

Phone

(573) 875-7819

Specialties & licenses 1

Addresses

Other names 1

• Lorrie R. Ney Doing business as

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1083890958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 S COWAN LOOP",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019781",
            "telephone_number": "573-875-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 S COWAN LOOP",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652019781",
            "telephone_number": "573-875-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWTREE ISL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "NEY",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-875-7819",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorrie R. Ney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hope Madison Williard, PA-C
• Zachary Williard
• Dale Willis, M.A.
• Lia Willis, PH.D.
• Phyllis Ann Willis, CRNA
• Theodore E Wills, MD
• Thomas David Willson, MD
• Gilbert Wilshire, M.D.
• Anna Wilson
• Ava Jayne Wilson

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.