Melissa Anne Willock, LPN

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

3500 N Sherman Blvd
Milwaukee, WI 53216-3463

Phone

(414) 737-3081

NPI assigned

Nov 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Love and Heart Adult Family Home

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Milwaukee, WI
  • NPI 1629911003
  NPD Authorized official
• Above and Beyond Home Health Care

  • Home Health Agency
  • Milwaukee, WI
  • NPI 1104436401
  NPD

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1407450349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 N 72ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532184856",
            "telephone_number": "414-737-3081",
            "fax_number": "414-231-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N SHERMAN BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163463",
            "telephone_number": "414-737-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOCK",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843581865",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Kathleen Willis, ED S
• Matthew Willis
• Shelley Marie Willis, M.A.
• Vernita M. Willis, LPN
• Nicole Willms, OT
• Roland Oswald Willock, M.D.
• Lauren Willoughby
• Rodney E Willoughby, MD
• Willowglen Academy - Howard
• Willowglen Academy Inc

• Personal Care Attendant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Personal Care Attendant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.