Rachel Willis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

255823 Issued in SC

Practice address

140 Stoneridge Dr Ste 430
Columbia, SC 29210-8276

Phone

(839) 213-4618

Fax

(803) 233-3775

NPI assigned

Apr 30, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• A Carolina Homecare Agency

  • In Home Supportive Care Agency
  • Columbia, SC
  • NPI 1053132381
  NPD Authorized official

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1235928979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR STE 430",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108276",
            "telephone_number": "839-213-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STONERIDGE DR STE 430",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108276",
            "telephone_number": "839-213-4618",
            "fax_number": "803-233-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RACHEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "255823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damian Willis
• Daquorl Lamonte Willis, RBT
• Deidra Willis, A- GNP
• Ebony Rene Willis, RBT
• Kimberly D Willis, ACNP RN
• Samuel M Willis Jr., MD
• Yvannah Mae Garcia Willis, PA-C
• Elizabeth Willits
• Carmen Willm, OT
• Jonathan Gabriel Wills

• Registered Nurse in Columbia, SC
• Providers in Columbia, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.