Emily Ruth Willis, CRNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1124510 Issued in AL

Practice address

540 Hughes Rd Ste 8
Madison, AL 35758-8959

Phone

(704) 451-1928

NPI assigned

Jul 24, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Ms. Emily Ruth Fligg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Womb Space Healing Center, LLC

  • Clinic/Center
  • Huntsville, AL
  • NPI 1396442075
  NPD Authorized official
• Together Women'S Health Medical Group of Alabama PC

  • Obstetrics & Gynecology Physician
  • Birmingham, AL
  • NPI 1689637431
  NPD

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1740445287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 HUGHES RD STE 8",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588959",
            "telephone_number": "704-451-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HUGHES RD STE 8",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588959",
            "telephone_number": "704-451-1928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Rosemont Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122139",
            "country_code": "US",
            "telephone_number": "520-881-1977",
            "fax_number": "520-881-1979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Franklin St SE Ste 102",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014537",
            "country_code": "US",
            "telephone_number": "256-251-5121",
            "fax_number": "256-469-6061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "EMILY",
        "middle_name": "RUTH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN152509",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP3047",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-124510",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1124510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "FLIGG",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yvette Dawn Williams, RN
• Zaria S Williams, RBT
• Maria Eleanor Williamson, DDS
• Albert Willis II, D.M.D., M.D.
• Ashley Willis
• John Evan Willis, CRNP
• Willow Haven Counseling LLC
• Anika Wilson, MD
• Sharon Leigh Wilson, FNP
• Sophia Wilson

• Women's Health Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Women's Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.