SHAWNDAE NICOLE WILLIS
NPI 1073961272
Technician, Other in Fort Worth, TX

Q: What is Shawndae Willis's NPI number?

The NPI number for Shawndae Willis is 1073961272. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Q: What is Shawndae Willis's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

Q: When was this NPI record last updated?

The NPPES record for Shawndae Willis was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 27, 2016

9121 SAINT KITTS RD, FORT WORTH, TX 76123(817) 907-3961 Get Directions Write a Review

NPPES record last updated: May 27, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shawndae Nicole Willis NPPES

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

SHAWNDAE NICOLE WILLIS (NPI 1073961272) is an individual technician, other provider in Fort Worth, Texas, licensed in (247200000X) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1073961272

Entity TypeIndividualFemale

Primary Taxonomy247200000X

Provider Legal NameSHAWNDAE NICOLE WILLIS

Location Address9121 SAINT KITTS RDFort Worth, TX 76123-3523

Mailing Address9121 Saint Kitts RdFort Worth, TX 76123-3523 · (817) 907-3961

Phone(817) 907-3961

Sole ProprietorNo

Enumeration DateMay 27, 2016

✔ NPI 1073961272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247200000X

License✔ Licensed · 247200000X

Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

9121 SAINT KITTS RD, Fort Worth, TX 76123

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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 Shawndae Willis's NPI number?

The NPI number for Shawndae Willis is 1073961272. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Shawndae Willis located?

Shawndae Willis practices at 9121 Saint Kitts Rd, Fort Worth, TX 76123. The listed phone number is (817) 907-3961.

What is Shawndae Willis's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Shawndae Willis was last updated on May 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.