Jennifer Willis, M.S., M.B.A.

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

6060 N Central Expy Ste 500
Dallas, TX 75206-5209

Phone

(214) 927-6179

Fax

(214) 853-5663

NPI assigned

Aug 2, 2011

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

Master of Business Administration, Master of Science

Practice roles

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.

• The Willis Group- Moving Forward

  • Contractor
  • Dallas, TX
  • NPI 1821879578
  NPD Authorized official

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1124306543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MAIN STREET",
            "address_2": "UNIT 1407",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75202",
            "telephone_number": "214-800-2846",
            "fax_number": "214-853-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065209",
            "telephone_number": "214-927-6179",
            "fax_number": "214-853-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "M.S., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Louise Willis, CRNA
• Carlota Laneshia Willis, LCSW
• Christina J Willis, LPC
• Dessica Monique Willis
• Fatema Willis, MD
• John Willis, M.D.
• Mary Kristine Willis, P.A.-C
• Nicole Willis
• Toni Willis, MD
• Yolanda Laron Willis, RN

• Contractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.