James L Willis Jr., R.N.

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R65845 Issued in NM

Practice address

505 S Main St Ste 249
Las Cruces, NM 88001-1243

Phone

(575) 527-5884

Fax

(575) 527-5886

NPI assigned

Aug 6, 2016

Sex

Male

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

Credentials

Registered Nurse

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.

• Las Cruces School District No. 2

  • Local Education Agency (LEA)
  • Las Cruces, NM
  • NPI 1851301857
  NPD (past)

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1528512696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 ALHAMBRA CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880078952",
            "telephone_number": "575-644-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MAIN ST STE 249",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011243",
            "telephone_number": "575-527-5884",
            "fax_number": "575-527-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "R65845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Williamson, CASE MANAGER
• Janie Tyler Hoffman Williamson
• Lea J Williamson, LMT
• Anna Joy Willingham, MD
• Rhonda Willis Page, CNP
• Mya Willis
• Willow Bloom Therapy LLC
• Chanel Wills
• Zachary Thomas Johnathan Wills
• Lu Ann Wilmeth, MA, LPCC, NCC

• School Registered Nurse in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.