Organization Active NPI

Willis Senior Housecalls PLLC

  • Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1356738488
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP115180 Issued in TX
Legal business name
WILLIS SENIOR HOUSECALLS PLLC
Practice address
275 Holder TRL
McKinney, TX 75071-4133
Phone
(214) 491-4191
Fax
(469) 519-0407
NPI assigned
Apr 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
David Lee Willis, NPNPI 1689703134
Title
Nurse Practitioner
Phone
(214) 491-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X AP115180 TX Primary

Addresses

Primary practice location

275 Holder TRL
McKinney, TX 75071-4133

Mailing address

275 Holder TRL
McKinney, TX 75071-4133
Phone (214) 491-4191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150709001540 TX Part B Supplier - Clinic/Group Practice 1850603564 Receives reassigned benefits from 4 practitioners
Practice locations: McKinney, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1356738488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HOLDER TRL",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714133",
            "telephone_number": "214-491-4191",
            "fax_number": "469-519-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOLDER TRL",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714133",
            "telephone_number": "214-491-4191",
            "fax_number": "469-519-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS SENIOR HOUSECALLS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "NURSE  PRACTITIONER",
        "authorized_official_telephone_number": "214-491-7100",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP115180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.