Rieketta Danyelle Willis

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

20-015099-1 Issued in IN

Practice address

2055 N Keystone Ave
Indianapolis, IN 46218-3562

Phone

(317) 658-9315

NPI assigned

Feb 17, 2021

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• A Plus Stellar Transpot LLC

  • Non-emergency Medical Transport (VAN)
  • Indianapolis, IN
  • NPI 1346974698
  NPD Authorized official
• Primary Personal Services LLC

  • Attendant Care Provider
  • Indianapolis, IN
  • NPI 1073376240
  NPD Authorized official
• A Greater Solution Home Health Care, LLC

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1265372841
  NPD (past) Authorized official
• Primary Personal Services LLC

  • Home Health Aide
  • Phoenix, AZ
  • NPI 1962209684
  Authorized official Same address or phone

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1790378073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462183562",
            "telephone_number": "317-658-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N KEYSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462183562",
            "telephone_number": "317-658-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "RIEKETTA",
        "middle_name": "DANYELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": "20-015099-1",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "20-015099-1",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "IN",
            "license": "20-015099-1",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "IN",
            "license": "20-015099-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Willis
• Lisa H. Willis, D.D.S
• Megan Ashley Willis, PA
• Rashunda Rene Willis, LPN
• Rebecca Willis, LCSW
• Sydney Willis
• Thomas J Willis, MD
• Tina H Willis, MA, RD, CD
• Jazzmin Willliams
• Grace Willmann

• Attendant Care Provider in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Attendant Care Provider in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.