Kristen Cochran Willis

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1-175727 Issued in AL

Practice address

84 Cropwell Dr
Pell City, AL 35128-7552

Phone

(205) 606-4273

NPI assigned

Sep 25, 2023

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

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.

• Elixir Health Direct Primary Care LLC

  • Primary Care Nurse Practitioner
  • Pell City, AL
  • NPI 1053131532
  NPD

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1437938065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 HIDDEN MOUNTAIN LN",
            "city": "VINCENT",
            "state": "AL",
            "postal_code": "351789500",
            "telephone_number": "662-316-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 CROPWELL DR",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351287552",
            "telephone_number": "205-606-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KRISTEN",
        "middle_name": "COCHRAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-175727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Calhoun White, CRNP
• Joe F Willard, OTRL
• Linsey Steadman Williams, M.D.
• Marvin Earl Williams Jr., DPM
• Christy J Willis, ALC,NCC
• Samuel Conner Willis, DNP
• Cassie Lynn Wilson, MS, CCC-SLP
• Chandra C Wilson, PT
• Jonathan Mark Windham, CRNP
• Emma Wood-Wright

• Registered Nurse in Pell City, AL
• Providers in Pell City, AL by specialty
• Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.