Desiree Willis, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

315903-1 Issued in NY

Practice address

55 Center St
Geneseo, NY 14454-1342

Phone

(585) 857-0605

NPI assigned

Jan 6, 2015

Last updated

Mar 20, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1437547080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CENTER ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541342",
            "telephone_number": "585-857-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CENTER ST",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541342",
            "telephone_number": "585-857-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "DESIREE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315903-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danae Elyce Wetherbee, DPT
• Katharine Bette Wiener, REGISTERED NURSE
• Stephen R Wiener, DMD
• Jessica C Wilcox, LMHC-P
• Kathleen Mary Williams, NP
• Beth Anne Wolcott, SLP
• Abigail L Wood, LCSW
• Brandon Michael Wright, DC
• Tara Yates, RN

• Licensed Practical Nurse in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.