Erin Nicole Willis, M.S. CFY--SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP8497 Issued in AZ

Practice address

6425 W Desert Hollow Dr
Phoenix, AZ 85083-3430

Phone

(602) 692-4714

NPI assigned

Sep 20, 2013

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Therapy Tree, PLLC

  • Hearing and Speech Clinic/Center
  • Phoenix, AZ
  • NPI 1306240817

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435363200000",
    "number": "1447686589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20100 N 51ST AVE",
            "address_2": "SUITE E-540",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085125",
            "telephone_number": "623-500-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 W DESERT HOLLOW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850833430",
            "telephone_number": "602-692-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CFY--SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-20",
        "last_updated": "2015-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine L Willis, MSW
• Christopher Ross Willis, MD
• Delaney Willis, PSYD
• Deshea Willis
• Elizabeth Willis, COTA/L
• Jennifer Louise Willis, M.D.
• Joshua Willis, MD
• Joyce Margaret Willis, LPC
• Latanya Maria Willis, FNP
• Lateisha Lynn Vantrice Willis, CNA

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.