Misty Lyon Willis, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP142009 Issued in TX

Practice address

8300 Old McGregor Rd Ste 2a
Woodway, TX 76712-3600

Phone

(254) 537-1064

Fax

(254) 537-1092

NPI assigned

Aug 2, 2019

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1538714050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 OLD MCGREGOR RD STE 2A",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767123600",
            "telephone_number": "254-537-1064",
            "fax_number": "254-537-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 OLD MCGREGOR RD STE 2A",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767123600",
            "telephone_number": "254-537-1064",
            "fax_number": "254-537-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MISTY",
        "middle_name": "LYON",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briyer Lene Wilkinson
• Devin Wesley Williams
• Nathan Dale Williams, LPC-S
• Samantha Renee Williams
• Stephen Grant Williams, LPC
• Ashleigh Wills
• Savannah Wilson
• Kayla Woods, RD
• Henry H Wright, PT, DPT
• Wrist & Hand Center of Waco, PLLC

• Family Nurse Practitioner in Woodway, TX
• Providers in Woodway, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.