Lukisha Domally Willett, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05258 Issued in TX

Practice address

155 Louetta Crossing
Spring, TX 77373

Phone

(281) 528-0278

NPI assigned

Jul 3, 2007

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 names 1

• Lukisha Domally Former name

Medicare fee-for-service enrollment

Enrolled in TX, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

En LLCGroup PAC ID 4385989557, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• En LLC

  dba Erlanger Express Care

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1770075582
  Medicare reassignment Care Compare group
• Doctors Express of the Beaumont Area PA

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment
• DX Mso, PLLC

  dba Doctors Express

  • Urgent Care Clinic/Center
  • Chattanooga, TN
  • NPI 1225381148
  Medicare reassignment
• Southlake Doctors Express, PA PSC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Southlake, TX
  • NPI 1942519335
  NPD
• En LLC

  dba Erlanger Express Care

  • Urgent Care Clinic/Center
  • Ringgold, GA
  • NPI 1548829187
  NPD
• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
  • NPI 1750826095
  NPD (past)
• Greater Houston Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1316363336
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1437357159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22311 E DANIEL OAK CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894017",
            "telephone_number": "281-323-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LOUETTA CROSSING",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77373",
            "telephone_number": "281-528-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "LUKISHA",
        "middle_name": "DOMALLY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKISHA",
            "last_name": "DOMALLY",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wilder Care Corporation (Right at Home)
• Danielle Linette Wiley, RPH
• Natalie Ann Wilie, LPC-INTERN
• Jennifer Wilks, PTA
• Venetia Cynthia Wilks, LBSW
• Allyson Willey
• Jamesetta Williams Kidd
• Thomas Jermon Williams-Gibson
• Danielle Shelly-Ann Williams-McLeod
• Alexis M Williams

• Physician Assistant in Spring, TX
• Providers in Spring, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.