Willowtree Supports Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

14-42302-062 Issued in KS

Legal business name

WILLOWTREE SUPPORTS INC

Practice address

23733 W 83Rd Ter
Shawnee, KS 66227-3142

Phone

(913) 353-1970

Fax

(191) 327-3677

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Connie J Morris, RN

Title

Administrator

Phone

(913) 353-1970

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1811325699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23733 W 83RD TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662273142",
            "telephone_number": "913-353-1970",
            "fax_number": "191-327-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23733 W 83RD TER",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662273142",
            "telephone_number": "913-353-1970",
            "fax_number": "191-327-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWTREE SUPPORTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "913-353-1970",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": "14-42302-062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Williams, LPC
• Robyn Diane Williams, DPT
• Amy R Williamsen, PHARM.D.
• Blake Jerald Williamson, MD
• Randa Williamson
• Alexandra Wilson
• Lisa Kay Wilson, LMSW
• Paula Lorene Wilson, LCMFT
• Krista Winegar, LMLP
• Roger Charles Wineinger, OD

• Developmentally Disabled Services Day Training Agency in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.