Kimberly Willis

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

2004 Rhode Island Ave NE
Suite 400
Washington, DC 20018

Phone

(202) 558-6084

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1255692729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 RHODE ISLAND AVE NE STE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182835",
            "telephone_number": "202-558-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 RHODE ISLAND AVE NE",
            "address_2": "SUITE 400",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20018",
            "telephone_number": "202-558-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA4007",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanee A Willis
• Donald James Willis, LICSW, LCSW-C
• Henry A Willis, PHD
• Isarah Willis
• Joel S Willis, DO
• Latisha S Willis, HHA
• Leah Willis, DPT
• Leona Willis, LCPC, LPC
• Melissa Antoinette Willis, LICSW
• Michelle Willis

• Personal Care Attendant in Washington, DC
• Providers in Washington, DC by specialty
• Personal Care Attendant in District of Columbia

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