Lena Olivia Willis

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

6144 Smithfield Dr
Troy, MI 48085-1080

Phone

(313) 646-8347

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By the provider in NPPES

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

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1245623438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 SMITHFIELD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851080",
            "telephone_number": "313-646-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 SMITHFIELD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851080",
            "telephone_number": "313-646-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "LENA",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Allen Williams
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• Brian D Williamson, MD
• John Williamson, BEHAVIOR TECHNICIAN
• Leah Karen Williford, OTR/L
• Willowmere Home Care LLC
• Christopher Matthew Wilson Jr., P.T., D.P.T.
• Elia Wilson
• Sarah E Wilson, MD
• Stephanie Wilson, BCBA

• Other Technician in Troy, MI
• Providers in Troy, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.