Katharine Anne Willis, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12995 Issued in OR

Practice address

2500 NE 65TH Ave
Vancouver, WA 98661-6812

Phone

(503) 228-6479

NPI assigned

Jun 3, 2008

Last updated

Jan 24, 2013By 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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1689833816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14917 NE 24TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847827",
            "telephone_number": "360-271-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE 65TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616812",
            "telephone_number": "503-228-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KATHARINE",
        "middle_name": "ANNE",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valencia Dean Williams
• Christine Williamson, APRN-NP
• Haylee Williamson
• Rachel S Williamson, FNP-C
• Judith Willis, LMT
• Mary Willis, PHARM.D.
• Kathryn Ann Willits, FNP-C
• Mardee Anna Willman
• Carol Willoughby, CCC-SLP
• Laura Lynn Willoughby, M.D.

• Speech-Language Pathologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.