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NICOLE WILLIS D.C. NPI 1093992539


NPI Information

NPI: 1093992539
Provider Name: NICOLE WILLIS, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Organization: WILLIS FAMILY CHIROPRACTIC, LLC Address:
1570 E HERITAGE PARK ST
STE 175
MERIDIAN, ID
ZIP 83646
Phone: (208) 322-4114
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Nicole Willis, D.C. is a chiropractor in Meridian, ID with 17 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. Nicole Willis, D.C. NPI is 1093992539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduation Year:2007

The provider's business location address is:

1570 E HERITAGE PARK ST
STE 175
MERIDIAN, ID
ZIP 83646-445
Phone: (208) 322-4114
Fax: (208) 322-4115

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 1/28/2008 and was last updated on 1/31/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCHIA-1268IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11370103OTHERGROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.