Shanna Lynn Willis, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1033263 Issued in TX

Practice address

419 Gentry St
Spring, TX 77373-8359

Phone

(281) 296-0343

Fax

(281) 503-7765

NPI assigned

Mar 25, 2021

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oanh Ngoc Bui DO PAGroup PAC ID 2567484959, 5 clinicians

Fairfield OB-GYN PLLCGroup PAC ID 3274845391, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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.

• Fairfield OB-GYN PLLC

  dba Fairfield OB-GYN

  • Obstetrics & Gynecology Physician
  • Cypress, TX
  • NPI 1871987966
  Medicare reassignment Care Compare group NPD
• Oanh Ngoc Bui DO PA

  dba Cypress OBGYN

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1033393400
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1780261834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24455 PIPESTEM DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773556941",
            "telephone_number": "832-768-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 GENTRY ST",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773738359",
            "telephone_number": "281-296-0343",
            "fax_number": "281-503-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SHANNA",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1033263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Williams
• Yolanda Gean Williams, LMT, MMP
• Zaydrea Gailyon Williams
• Natiya Williamson
• Ryan Williamson
• Willowbrook Biosciences LLC
• Willowbrook Biosciences LLC
• Willowbrook Biosciences LLC
• Willowbrook Biosciences LLC
• Willowbrook Biosciences LLC

• Advanced Practice Midwife in Spring, TX
• Providers in Spring, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.