Active NPI
Betty J Willett, R.N.
- Registered Nurse
- Redwood City, CA
National Provider Identifier
1144413089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 309568
- Practice address
- 643 Bair Island Rd
Sutie 306
Redwood City, CA 94063-2754 - Phone
- (650) 306-1100
- NPI assigned
- Aug 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 309568 | CA | Primary |
Addresses
Primary practice location
643 Bair Island Rd
Sutie 306
Redwood City, CA 94063-2754
Mailing address
1534 Plaza LN
Apt. 154
Burlingame, CA 94010-3204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309568 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1144413089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 PLAZA LN",
"address_2": "APT. 154",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 BAIR ISLAND RD",
"address_2": "SUTIE 306",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940632754",
"telephone_number": "650-306-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLETT",
"first_name": "BETTY",
"middle_name": "J",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "309568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.