Individual provider Active NPI

Kathryn Ann Willits, FNP-C

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1245230028
Registry record updated Mar 17, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Mar 19, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
575105 Issued in TX
Practice address
6100 NE Fourth Plain Blvd
Vancouver, WA 98661-6830
Phone
(360) 947-2550
Fax
(360) 947-2533
NPI assigned
Jul 22, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 575105 TX Primary

Addresses

Primary practice location

6100 NE Fourth Plain Blvd
Vancouver, WA 98661-6830

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (206) 474-2001

Other practice location 1

1301 W 7th St
Suite 121
Fort Worth, TX 76102-2651
Phone (817) 348-0425

Other practice location 2

1301 W 7th St
Suite 121
Fort Worth, TX 76102-2651
Phone (817) 348-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245230028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "206-474-2001",
            "fax_number": "206-764-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 NE FOURTH PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616830",
            "telephone_number": "360-947-2550",
            "fax_number": "360-947-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W 7th St",
            "address_2": "SUITE 121",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761022651",
            "country_code": "US",
            "telephone_number": "817-348-0425",
            "fax_number": "817-348-0455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 W 7th St",
            "address_2": "SUITE 121",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761022651",
            "country_code": "US",
            "telephone_number": "817-348-0425",
            "fax_number": "817-348-0455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLITS",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "575105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.