MRS. KACI DAWN WILLIS M.S.
NPI 1053857722
Speech-Language Pathologist in Eagletown, OK

Q: What is Kaci Willis's NPI number?

The NPI number for Kaci Willis is 1053857722. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Q: What is Kaci Willis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaci Willis was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 18, 2017

110 WILLIS SPRING RD, EAGLETOWN, OK 74734(870) 784-1147 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Kaci Dawn Willis M.s. NPPES

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

MRS. KACI DAWN WILLIS M.S. (NPI 1053857722) is an individual speech-language pathologist provider in Eagletown, Oklahoma, licensed in Arkansas (SP#P9074) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1053857722

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. KACI DAWN WILLISCredential: M.S.

Location Address110 WILLIS SPRING RDEagletown, OK 74734-3413

Mailing Address110 Willis Spring RdEagletown, OK 74734-3413 · (870) 784-1147

Phone(870) 784-1147

Sole ProprietorYes

Enumeration DateJanuary 18, 2017

✔ NPI 1053857722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in AR · SP#P9074✔ Licensed in TX · 112453

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

110 WILLIS SPRING RD, Eagletown, OK 74734

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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 Kaci Willis's NPI number?

The NPI number for Kaci Willis is 1053857722. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Kaci Willis located?

Kaci Willis practices at 110 Willis Spring Rd, Eagletown, OK 74734. The listed phone number is (870) 784-1147.

What is Kaci Willis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Kaci Willis was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.