Active NPI
Kathryn Ann Willits, FNP-C
- Family Nurse Practitioner
- Vancouver, WA
National Provider Identifier
1245230028
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.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 575105
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.