Cornelius Willis

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

1501 Morris St Apt 18
Baytown, TX 77520-3553

Phone

(346) 710-5088

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1588326987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MORRIS ST APT 18",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MORRIS ST APT 18",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203553",
            "telephone_number": "346-710-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CORNELIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-3063556",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Williams, PTA
• Lashonda Williams
• Tanya Ladette Williams, PHARM.D
• Veronica Williams
• Eun a Williamson, NP
• Natalie Willis, APRN
• Ashton Wilson
• Patricia Lee Wilson, PT
• Rachel Wilson, OTR
• Taja Wilson, PT, DPT

• Non-emergency Medical Transport (VAN) in Baytown, TX
• Providers in Baytown, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.