Bonnie Marie Willis, R.D.,L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD 4067 Issued in OH

Practice address

1761 Beall Ave
Wooster, OH 44691-2342

Phone

(330) 263-8194

Fax

(330) 263-8197

NPI assigned

Sep 25, 2007

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)

Enrolled

State licenses

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.

• City of Wooster

  • General Acute Care Hospital
  • Wooster, OH
  • NPI 1437156247
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1154518082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PARK ST NW",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "446621061",
            "telephone_number": "330-263-8194",
            "fax_number": "330-263-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-263-8194",
            "fax_number": "330-263-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "BONNIE",
        "middle_name": "MARIE",
        "credential": "R.D.,L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD 4067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan M Williams
• Perry S Williams, MD
• Rhoda Lee Williams
• Ronald Williams
• Kathryn M Williard, QMHS HS
• Rhodia Willis
• Tara D. Willis, M.ED., LPCC-S
• Wilson Optical & Hearing Centre, Inc.
• Chelsey M Wilson, QMHS
• Denice Wilson, PC

• Registered Dietitian in Wooster, OH
• Providers in Wooster, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.