CRYSTAL WILLIS
NPI 1093575102
Technician - Attendant Care Provider in Greenwood, IN

Q: What is Crystal Willis's NPI number?

The NPI number for Crystal Willis is 1093575102. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Q: What is Crystal Willis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Willis was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 19, 2024

1263 ODELL LN, GREENWOOD, IN 46143(317) 794-6979 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Crystal Willis NPPES

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

CRYSTAL WILLIS (NPI 1093575102) is an individual attendant care provider provider in Greenwood, Indiana, licensed in Indiana (300079808) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1093575102

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameCRYSTAL WILLIS

Location Address1263 ODELL LNGreenwood, IN 46143-7966

Mailing Address1263 Odell LnGreenwood, IN 46143-7966 · (317) 794-6979

Phone(317) 794-6979

Sole ProprietorYes

Enumeration DateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1093575102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

License✔ Licensed in IN · 300079808

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

1263 ODELL LN, Greenwood, IN 46143

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IDA'S HOME CARE LLC

In Home Supportive Care

1263 ODELL LN
GREENWOOD, IN 46143

Johnson County (317) 794-6979

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 Crystal Willis's NPI number?

The NPI number for Crystal Willis is 1093575102. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Crystal Willis located?

Crystal Willis practices at 1263 Odell Ln, Greenwood, IN 46143. The listed phone number is (317) 794-6979.

What is Crystal Willis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Crystal Willis was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.