Karyn Lynita Wills, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD20007 Issued in DC

Practice address

1100 New Jersey Ave SE Ste 840
Washington, DC 20003-3338

Phone

(202) 821-1102

NPI assigned

Oct 6, 2022

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

Other names 1

• Karyn Lynita Cole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1154046647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 DEL SOL CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213057",
            "telephone_number": "301-801-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEW JERSEY AVE SE STE 840",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033338",
            "telephone_number": "202-821-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "KARYN",
        "middle_name": "LYNITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD20007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DC20007",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARYN",
            "last_name": "COLE",
            "middle_name": "LYNITA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Wills
• April Wills, LGPC
• Donnetta Maxine Wills
• Javis Wills, HHA
• Jonathan Hayes Wills
• Kathryn Lawson Wills, MS
• Kimberly A Wills
• Kurtisa Ky'Leaf Wills
• Malika Wills, HHA
• Meagan Channing Wills, PH.D.

• Emergency Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Emergency Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.