Active NPI
Donna Willis
- Registered Nurse
- Windham, NH
National Provider Identifier
1346520095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN176529
- Practice address
- 20 Midtrail Crossing LN
Windham, NH 03087-1288 - Phone
- (978) 973-0987
- NPI assigned
- Aug 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN176529 | MA | |
| Registered Nurse | 163W00000X | RN176529 | MA | Primary |
Addresses
Primary practice location
20 Midtrail Crossing LN
Windham, NH 03087-1288
Mailing address
20 Midtrail Crossing LN
Windham, NH 03087-1288
Phone (978) 973-0987
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN176529 | MA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1346520095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MIDTRAIL CROSSING LN",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871288",
"telephone_number": "978-973-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MIDTRAIL CROSSING LN",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871288",
"telephone_number": "978-973-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MA",
"license": "RN176529",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN176529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.