Carla Louise Willy, RN, BSN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

041218397 Issued in IL

Practice address

30W346 Briar LN
Naperville, IL 60563-1954

Phone

(312) 806-8323

Fax

(630) 983-9318

NPI assigned

Jan 3, 2023

Last updated

Jan 3, 2023By the provider in NPPES

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1417660762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30W346 BRIAR LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631954",
            "telephone_number": "630-983-0706",
            "fax_number": "630-983-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30W346 BRIAR LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631954",
            "telephone_number": "312-806-8323",
            "fax_number": "630-983-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLY",
        "first_name": "CARLA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IL",
            "license": "041218397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPR",
            "identifier": "041218397",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Naperville, IL
• Providers in Naperville, IL by specialty
• Case Management Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.