Melissa Willems

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1629601 Issued in AK

Practice address

709 E 76TH Ave
1
Anchorage, AK 99518-2849

Phone

(907) 202-3379

Fax

(907) 644-0790

NPI assigned

Dec 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1419033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1225436413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 E 76TH AVE",
            "address_2": "1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182849",
            "telephone_number": "907-202-3379",
            "fax_number": "907-644-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E 76TH AVE",
            "address_2": "1",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995182849",
            "telephone_number": "907-202-3379",
            "fax_number": "907-644-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEMS",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-20",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "1629601",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AK",
            "license": "1624023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629601",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1624023",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet L Wilkinson
• Julie Willard-Smith, RN
• Devin Christian Willard
• Nicole Lynne Willard
• Mark E Willcox, M.D.
• Leslie Willenbrink
• Kelly Amber Willett, PA-S
• William E Erickson Anp PC
• William R Fell MD PC
• Carmen Williams Bydalek

• Case Manager/Care Coordinator in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Case Manager/Care Coordinator in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.