Patricia Ann Willis, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

198463-3102 Issued in UT

Practice address

3458 Westwood Dr
Salt Lake City, UT 84109-3239

Phone

(801) 278-8975

NPI assigned

Mar 24, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1720250384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 WESTWOOD DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093239",
            "telephone_number": "801-278-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 WESTWOOD DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841093239",
            "telephone_number": "801-278-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "198463-3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL - REGISTERED NURSE",
            "identifier": "198463-3102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Willis
• Hannah Willis
• Kristina Marie Willis
• Leo Willis
• Park Weed Willis, M.D.
• Rachel Willis
• Ryan Willis, MS, ATC-L, CES
• Jamie Silver Willmott, MS, CGC
• Sigal A. Willner, MD
• Barbara Ann Willobee, CMHC

• Registered Nurse in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.