Rashunda Rene Willis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27054722A Issued in IN

Practice address

1450 Lancashire CT
Indianapolis, IN 46260-2122

Phone

(317) 590-2335

NPI assigned

Dec 27, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261872000000",
    "number": "1225368160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 LANCASHIRE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602122",
            "telephone_number": "317-590-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 LANCASHIRE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602122",
            "telephone_number": "317-590-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RASHUNDA",
        "middle_name": "RENE",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-27",
        "last_updated": "2009-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27054722A",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703097636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Mae Willis
• George Philip Willis, DDS
• Jillian Willis
• Lisa H. Willis, D.D.S
• Megan Ashley Willis, PA
• Rebecca Willis, LCSW
• Rieketta Danyelle Willis
• Sydney Willis
• Thomas J Willis, MD
• Tina H Willis, MA, RD, CD

• Licensed Practical Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2009; 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.