Kaitlyn Russell Willis, CRNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

1-157407 Issued in AL

Practice address

245 Governors Dr SE
Huntsville, AL 35801-2700

Phone

(256) 265-1000

NPI assigned

Aug 11, 2025

Last updated

Aug 11, 2025By the provider in NPPES

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

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1801771613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7454 CRESVIEW LN",
            "city": "DORA",
            "state": "AL",
            "postal_code": "350622292",
            "telephone_number": "205-275-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012700",
            "telephone_number": "256-265-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "KAITLYN",
        "middle_name": "RUSSELL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AL",
            "license": "1-157407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan W Williamson, CRNP
• Ashley M Willingham
• Emily Willingham
• Claire Elise Willis
• Jasmine Willis, PHARMD
• Kenneth Dean Willis, M.D.
• Mina Salafranca Willis
• Sarah Gray Willis, CRNP
• Willow Tree Counseling, LLC
• Bradley Wills

• Neonatal Nurse Practitioner in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Neonatal Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.