Kristine Willis

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703085449 Issued in MI

Practice address

241 Wright St BLDG 1
Marquette, MI 49855-1955

Phone

(906) 228-6545

NPI assigned

Jun 3, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Marquette, MI
  • NPI 1578545141
  NPD
• Great Lakes Recovery Centers

  • Children's Substance Abuse Rehabilitation Facility
  • Negaunee, MI
  • NPI 1669899241
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Ironwood, MI
  • NPI 1821267956
  NPD (past)
• Great Lakes Recovery Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marquette, MI
  • NPI 1932378858
  NPD (past)

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1790678068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALTON RD",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662001",
            "telephone_number": "906-228-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 WRIGHT ST BLDG 1",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498551955",
            "telephone_number": "906-228-6545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Wright St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498551955",
            "country_code": "US",
            "telephone_number": "906-228-7611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Malton Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Negaunee",
            "state": "MI",
            "postal_code": "498662002",
            "country_code": "US",
            "telephone_number": "906-485-2347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Malton Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Negaunee",
            "state": "MI",
            "postal_code": "498662002",
            "country_code": "US",
            "telephone_number": "906-451-4889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Malton Rd",
            "address_purpose": "LOCATION",
            "city": "Negaunee",
            "state": "MI",
            "postal_code": "498662000",
            "country_code": "US",
            "telephone_number": "906-228-4692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703085449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Kevin Willett
• Icesis Williams
• Lacy Williams, MSN, APRN, FNP-BC
• McKaylyn Leigh Williams
• Piersan Elizabeth Suriano Williams, PT, DPT
• Ellen M Wilson
• Hannah M Wilson, PA-C
• Mary Jane Wilson, BSW
• Robert Wilson
• Samuel Nicholas Wiltzius, PARM D.

• Licensed Practical Nurse in Marquette, MI
• Providers in Marquette, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.