Stacy Lashun Willis, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

194684 Issued in TX

Practice address

1400 Broadfield Blvd Ste 200
Houston, TX 77084-5162

Phone

(888) 693-7474

Fax

(888) 510-5280

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

Yes

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

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.

• SMW Global Enterprises, LLC

  dba Total Core Health Solutions

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1720571516
  NPD Authorized official

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1295228088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2557",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774102557",
            "telephone_number": "888-693-7474",
            "fax_number": "888-510-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BROADFIELD BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845162",
            "telephone_number": "888-693-7474",
            "fax_number": "888-510-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "STACY",
        "middle_name": "LASHUN",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "194684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Willis
• Roshonda Willis
• Sally Willis, MOT, OTR/L, CBIS
• Sarah Margaret Willis
• Siera Willis
• Stephanie Willis
• Willliam Gibson, Jr. (Express One on One Therapy Clinic)
• Jonmeeshia Willliams, SPEECH LANGUAGE PATH
• Opal Willmon, PA
• Anya Willoughby, LVN, DOULA

• Licensed Vocational Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.