MS. STACY LASHUN WILLIS LVN
NPI 1295228088
Licensed Vocational Nurse in Houston, TX

Q: What is Stacy Willis's NPI number?

The NPI number for Stacy Willis is 1295228088. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Q: What is Stacy Willis's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Willis was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 07, 2018

1400 BROADFIELD BLVD STE 200, HOUSTON, TX 77084(888) 693-7474(888) 510-5280 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Stacy Lashun Willis Lvn NPPES

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

MS. STACY LASHUN WILLIS LVN (NPI 1295228088) is an individual licensed vocational nurse in Houston, Texas, licensed in Texas (194684) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1295228088

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameMS. STACY LASHUN WILLISCredential: LVN

Location Address1400 BROADFIELD BLVD STE 200Houston, TX 77084-5162

Mailing AddressPo Box 2557Cypress, TX 77410-2557 · (888) 693-7474 · Fax (888) 510-5280

Phone(888) 693-7474

Fax(888) 510-5280

Sole ProprietorYes

Enumeration DateJune 7, 2018

Last NPPES UpdateAugust 17, 2021

NPPES CertifiedJuly 27, 2021

✔ NPI 1295228088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in TX · 194684

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

1400 BROADFIELD BLVD STE 200, Houston, TX 77084

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Other Providers at the Same Location NPPES 20

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

INDIVIDUALIZED INTERVENTION ABA

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