Irene Crystal Willits, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201403163LPN Issued in OR

Practice address

2073 Olympic St
Springfield, OR 97477-3413

Phone

(541) 729-7585

NPI assigned

Jan 24, 2018

Last updated

Feb 26, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: irene.willits.p1@direct.lanecounty.nextgenshare.com
• Direct secure messaging: irene.willits.p2@direct.lanecounty.nextgenshare.com

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1568960599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773413",
            "telephone_number": "541-682-3550",
            "fax_number": "541-682-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773413",
            "telephone_number": "541-729-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLITS",
        "first_name": "IRENE",
        "middle_name": "CRYSTAL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201403163LPN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF NURSING LICENSE",
            "identifier": "201403163LPN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Williams
• Andrew Tony Williamson
• Julie Williamson, MA
• Kelli M Williamson
• Haley Denise Willis
• Christopher Willson, M.S., L.P.C.
• Codie Wilson
• Donald Julius Wilson
• Erica Starr Wilson, FNP-BC
• Jordan Mary Wilson

• Licensed Practical Nurse in Springfield, OR
• Providers in Springfield, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.