Sharonda Latreese Willis

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Practice address

118 E Weber St
Toledo, OH 43608-1812

Phone

(419) 820-0549

NPI assigned

May 29, 2024

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

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1487494225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E WEBER ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081812",
            "telephone_number": "419-820-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E WEBER ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081812",
            "telephone_number": "419-820-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SHARONDA",
        "middle_name": "LATREESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karl Willis
• Kathryn Sue Willis
• Laura Willis
• Nickyh Willis
• Odell Willis
• Sierra Nicole Willis
• Stacy Willis
• Susan Marie Willis
• Verna Sharon Willis
• Daina Willoughby

• Child Intellectual and/or Developmental Disabilities Respite Care in Toledo, OH
• Providers in Toledo, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.