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ERICKA NYCOLE WILLIS
NPI 1154922698
Home Health in Saint Louis, MO

Active since November 02, 2020
4031 DRYDEN AVE, SAINT LOUIS, MO 63115(314) 644-8625 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ericka Nycole Willis NPPES

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

ERICKA NYCOLE WILLIS (NPI 1154922698) is an individual home health provider in Saint Louis, Missouri and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1154922698
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameERICKA NYCOLE WILLIS
Location Address4031 DRYDEN AVESaint Louis, MO 63115-2444
Mailing Address4031 Dryden AveSaint Louis, MO 63115-2444 · (314) 644-8625
Phone(314) 644-8625
Sole ProprietorYes
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
✔ NPI 1154922698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
4031 DRYDEN AVE, Saint Louis, MO 63115
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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 Ericka Willis's NPI number?

The NPI number for Ericka Willis is 1154922698. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Ericka Willis located?

Ericka Willis practices at 4031 Dryden Ave, Saint Louis, MO 63115. The listed phone number is (314) 644-8625.

What is Ericka Willis's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Ericka Willis was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.