MISS KATHY RENEE WILLIS
NPI 1932476611
Respite Care - Respite Care, Mental Illness, Child in Mesa, AZ
NPI Status: Active since November 22, 2011
- Individual
- Female
- Respite Care
- Respite Care, Mental Illness, Child
About KATHY WILLIS
This page provides the complete NPI Profile along with additional information for Kathy Willis, a provider established in Mesa, Arizona with a medical specialization in Respite Care, focusing in respite care, mental illness, child . The healthcare provider is registered in the NPI registry with number 1932476611 assigned on November 2011. The practitioner's primary taxonomy code is 385HR2055X with license number 3162012 (AZ). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1932476611
- Provider Name
- MISS KATHY RENEE WILLIS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11026 E SEGURA AVE MESA, AZ 85212
- Location Phone
- (480) 235-9107
- Mailing Address
- 11026 E SEGURA AVE MESA, AZ 85212
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-22-2011
- Last Update Date
- 08-17-2020
- Code Navigator
Location Map
Secondary Locations
- 2320 W Peoria Ave Ste C111
Phoenix, AZ 85029
(602) 283-7100
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Respite Care Respite Care, Mental Illness, Child
- Taxonomy Code
- 385HR2055X
- Type
- Respite Care Facility
- License No.
- 3162012
- License State
- AZ
- Taxonomy Description
- A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | 3162012 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3162012 | OTHER (01) | AZ | AZ DEPT OF HEALTH SERVICES |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 3 | 2 | 4 | 7 | 6 | 6 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 6 | 2 | 8 | 7 | 12 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 6 + 2 + 8 + 7 + 1 + 2 + 6 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1932476611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932476611, enumerated in the NPI registry as an "individual" on November 22, 2011
The provider is located at 11026 E Segura Ave Mesa, Az 85212 and the phone number is (480) 235-9107
The provider's speciality is Respite Care with taxonomy code 385HR2055X with a focus in Respite Care, Mental Illness, Child
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 22, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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