Willa Espina Illustrisimo, MSN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95010024 Issued in CA

Practice address

1600 Creekside Dr Ste 2700
Folsom, CA 95630-3485

Phone

(530) 677-0700

NPI assigned

Apr 12, 2019

Last updated

Apr 12, 2019By the provider in NPPES

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

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1386107688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR STE 2700",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303485",
            "telephone_number": "530-677-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DR STE 2700",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303485",
            "telephone_number": "530-677-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLUSTRISIMO",
        "first_name": "WILLA",
        "middle_name": "ESPINA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95010024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynny Anh Huynh-Nguyen
• Yung-Chieh Hwang, DPT
• Yirye Hwangbo
• Ifeatu Nnebe DDS Inc (BSC Dental Smiles)
• Gabriel Hernandez Iguban
• Kristen Lyn Indermill, MFT
• Innovative Compounding Pharmacy
• Insight Health Corp (INSIGHT IMAGING - Folsom MRI)
• Intense Therapy LLC (Intense Therapy Medical Massage)
• Maryam Iranpour

• Nurse Practitioner in Folsom, CA
• Providers in Folsom, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.