MS. KENTOYA VENGA WILLIS
NPI 1053814426
Technician - Personal Care Attendant in Tyler, TX

Q: What is Kentoya Willis's NPI number?

The NPI number for Kentoya Willis is 1053814426. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Q: What is Kentoya Willis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Kentoya Willis was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2018

4504 EDINBURGH DR, TYLER, TX 75703(903) 539-7754 Get Directions Write a Review

NPPES record last updated: March 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Kentoya Venga Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KENTOYA VENGA WILLIS (NPI 1053814426) is an individual personal care attendant in Tyler, Texas and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1053814426

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameMS. KENTOYA VENGA WILLIS

Location Address4504 EDINBURGH DRTyler, TX 75703-2303

Mailing Address4504 Edinburgh DrTyler, TX 75703-2303 · (903) 539-7754

Phone(903) 539-7754

Sole ProprietorNo

Enumeration DateMarch 13, 2018

✔ NPI 1053814426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

4504 EDINBURGH DR, Tyler, TX 75703

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentoya Willis's NPI number?

The NPI number for Kentoya Willis is 1053814426. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Kentoya Willis located?

Kentoya Willis practices at 4504 Edinburgh Dr, Tyler, TX 75703. The listed phone number is (903) 539-7754.

What is Kentoya Willis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kentoya Willis was last updated on March 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.