Amber Elizabeth Willis, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2201 Silver Lake Rd
Bartlesville, OK 74006-6233

Phone

(918) 335-6219

NPI assigned

Jul 19, 2018

Last updated

Oct 19, 2021By 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

Other names 1

• Amber Elizabeth Bonham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1821575135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SILVER LAKE RD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740066233",
            "telephone_number": "918-899-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SILVER LAKE RD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740066233",
            "telephone_number": "918-335-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "AMBER",
        "middle_name": "ELIZABETH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "BONHAM",
            "middle_name": "ELIZABETH",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Savannah Gail Williams, CCC-SLP
• Scott E Williams, D.O.
• Tasha Williams
• Tijuana Williams
• Julie Beth Williamson, RPH
• Joseph Willis
• Wilson Psychological Assessments, PLLC
• Wilson Psychological Associates PLLC
• Da'Nae Wilson
• John R Wilson, BOCPO

• Athletic Trainer in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Athletic Trainer in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.