Alexandria A Willis

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

83 Sapphire LN
Streetsboro, OH 44241-4133

Phone

(216) 645-3970

NPI assigned

Mar 3, 2025

Last updated

Mar 3, 2025By 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

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": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1619775152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SAPPHIRE LN",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414133",
            "telephone_number": "216-645-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 SAPPHIRE LN",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414133",
            "telephone_number": "216-645-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "ALEXANDRIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Reserve Nutrition
• Gary L Wheat, DC
• Kelley Wheatley
• Paula Elizabeth Williams, L.M.T
• Vaishali Williams, RN
• Rachel Wolf
• Louisa Campitelli Wolowiecki, PHARMD, RPH
• Hugh Wonderly
• Eileen Hai Huat Wong, M.D.
• Firas Ghattas Yacoub, DDS

• Driver in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.