Natalie J Willis

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2222 N Monroe St
Spokane, WA 99205-4545

Phone

(509) 413-2950

Fax

(509) 241-1866

NPI assigned

May 15, 2020

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

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.

• Revive Counseling Spokane, PLLC

  • Community/Behavioral Health Agency
  • Spokane, WA
  • NPI 1306321567
  NPD (past)
• Revive Counseling Spokane, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
  • NPI 1316477805
  NPD (past)

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1457973166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N COLEMAN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992121411",
            "telephone_number": "509-608-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054545",
            "telephone_number": "509-413-2950",
            "fax_number": "509-241-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "NATALIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shylo L Williamson
• Willis S Muncey P S
• Jennifer Willis, MPAS, PA-C
• Lauren Willis, MS, RD, CD
• Mary Louise Willis, ARNP
• Robi Rae Willis, BA/CDP
• Stephen I Willis, PA-C
• Alana Willmann
• Sondra Willmann
• Alicia Willms, RD

• Peer Specialist in Spokane, WA
• Providers in Spokane, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.