Kayla Monae Willett, SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

191642 Issued in TN

Practice address

263 E Butler Ave Apt 406263
Memphis, TN 38126-2513

Phone

(901) 264-5363

NPI assigned

Jan 24, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1699365551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 E BUTLER AVE APT 406263",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381262513",
            "telephone_number": "901-264-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 E BUTLER AVE APT 406263",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381262513",
            "telephone_number": "901-264-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "KAYLA",
        "middle_name": "MONAE",
        "credential": "SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TN",
            "license": "191642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST",
            "identifier": "191642",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "imperialextension.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "263 E Butler Ave Apt 406263",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381262513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paula Moise Wilkinson, LCSW
• Sara A. Wilkinson, CRNA
• Sara Kenny Wilkinson, FNP
• Laura Daniel Willams, MS
• Angela Willbanks
• Beatrice Willette, DPH
• Erin J Willhelm, PHARMD
• William C. Hurd, M.D., PC
• William C. Stewart, Jr., M.D. PLLC
• William L. Fulliton

• Prosthetics Case Management in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthetics Case Management in Tennessee

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