Wendy J Willey, RN, MS, ACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

COA.09939-NP Issued in OH

Practice address

7700 Washington Village Dr
Suite 230
Dayton, OH 45459-3953

Phone

(937) 438-0099

Fax

(937) 438-0902

NPI assigned

Jan 16, 2008

Last updated

Nov 13, 2013By the provider in NPPES

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

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renal Physicians Inc

  dba Dayton Kidney

  • Nephrology Physician
  • Kettering, OH
  • NPI 1962486316
  NPD (past)

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1174709455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593953",
            "telephone_number": "937-438-0099",
            "fax_number": "937-438-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 230",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593953",
            "telephone_number": "937-438-0099",
            "fax_number": "937-438-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "WENDY",
        "middle_name": "J",
        "credential": "RN, MS, ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.09939-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Dawn Will, QMHS CMS
• Trichell Willaims
• Katharine Mae Willen, APRN
• Joy M Willenbrink-Conte, MA, MT-BC
• Noelle Willey, MSW, LSW
• William J Kessler (Cameo Optical)
• William R Dorsey D O Inc
• Katresha Janiece Williams-Ellington, APRN
• Ashley Williams-Gilkey
• Tammy F Williams-Petry, LISW

• Acute Care Nurse Practitioner in Dayton, OH
• Providers in Dayton, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.