Rebecca Charlene Willis

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

Fort Washakie Healt Center Lab IHS 29 Black Coal Drive
Fort Washakie, WY 82514

Phone

(307) 332-7672

NPI assigned

Sep 28, 2017

Last updated

Sep 29, 2026By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1649789025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E ADAMS AVE APT 5",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825014755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FORT WASHAKIE HEALT CENTER LAB IHS 29 BLACK COAL DRIVE",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "82514",
            "telephone_number": "307-332-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "REBECCA",
        "middle_name": "CHARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley W Vincent
• Debra Kay Waters, MLT
• Kellie Rene Webb, LAT
• Gregory John Wheeler, PH.D.
• Nina Williams, MT(ASCP)
• Sandra Wilson, DDS
• Wind River Health Center
• Wind River Service Unit IHS
• Sally J Youngbear, R.N.
• Leilani J Younkin, CLIN. LAB SCIENTIST

• Other Technician in Fort Washakie, WY
• Providers in Fort Washakie, WY by specialty
• Other Technician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.