Active NPI
Katherine Willis, RN
- Registered Nurse
- Clatskanie, OR
National Provider Identifier
1518447440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60394824
- Practice address
- 72031 Sarah LN
Clatskanie, OR 97016-2632 - Phone
- (360) 490-9202
- NPI assigned
- Aug 20, 2018
- Last updated
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60394824 | WA | Primary |
Addresses
Primary practice location
72031 Sarah LN
Clatskanie, OR 97016-2632
Mailing address
72031 Sarah LN
Clatskanie, OR 97016-2632
Phone (360) 490-9202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60394824 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1518447440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72031 SARAH LN",
"city": "CLATSKANIE",
"state": "OR",
"postal_code": "970162632",
"telephone_number": "360-490-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72031 SARAH LN",
"city": "CLATSKANIE",
"state": "OR",
"postal_code": "970162632",
"telephone_number": "360-490-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "KATHERINE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60394824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clatskanie, OR
- Scott Aaron Smith, D.D.S.
- Strong Family Dentistry of Clatskanie
- Emily Teeter
- Laureen Janel Tice, RDH
- James Hal Tyack, DMD
- Yakima Valley Farm Workers Clinic (Community Health Center of Clatskanie)
- Yakima Valley Farm Workers Clinic (Community Health Center at Clatskanie School)
- Tessa Zasta, MS, EDS, NCC, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.