Lateisha Lynn Vantrice Willis, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

297178 Issued in AZ

Practice address

1839 N 39TH St
Phoenix, AZ 85008-3915

Phone

(817) 819-7710

NPI assigned

Apr 21, 2025

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

Other names 1

• Lateisha Lynn Vantrice Marshall Former name

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": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1235926718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 N 39TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083915",
            "telephone_number": "817-819-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 N 39TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083915",
            "telephone_number": "817-819-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "LATEISHA LYNN",
        "middle_name": "VANTRICE",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "297178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATEISHA LYNN",
            "last_name": "MARSHALL",
            "middle_name": "VANTRICE",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Nicole Willis, M.S. CFY--SLP
• Jennifer Louise Willis, M.D.
• Joshua Willis, MD
• Joyce Margaret Willis, LPC
• Latanya Maria Willis, FNP
• Maurice Nicholas Willis
• Nakia Andrea Willis
• Nina Semnani Willis, D.O.
• Steven Willis, D.O.
• Nicholas Willius, DO

• Nurse's Aide in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nurse's Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.