KIMBERLY WILLIS
NPI 1407516180
Technician - Personal Care Attendant in Las Vegas, NV

Active since December 22, 2021
3040 E CHARLESTON BLVD APT 3099, LAS VEGAS, NV 89104(818) 799-0121 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Willis NPPES

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

KIMBERLY WILLIS (NPI 1407516180) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1407516180
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameKIMBERLY WILLIS
Location Address3040 E CHARLESTON BLVD APT 3099Las Vegas, NV 89104-2385
Mailing Address410 S Rampart Blvd Ste 390Las Vegas, NV 89145-5749
Sole ProprietorNo
Enumeration DateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
NPI 1407516180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
3040 E CHARLESTON BLVD APT 3099, Las Vegas, NV 89104

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 Kimberly Willis's NPI number?

The NPI number for Kimberly Willis is 1407516180. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Kimberly Willis located?

Kimberly Willis practices at 3040 E Charleston Blvd Apt 3099, Las Vegas, NV 89104. The listed phone number is (818) 799-0121.

What is Kimberly Willis's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kimberly Willis was last updated on December 22, 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.