KEITA WILLIS
NPI 1497176937
Respite Care - Respite Care, Mental Illness, Child in Peoria, AZ

Q: What is Keita Willis's NPI number?

The NPI number for Keita Willis is 1497176937. It was assigned to this individual provider in the NPPES registry on December 31, 2013.

Q: What is Keita Willis's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

Q: When was this NPI record last updated?

The NPPES record for Keita Willis was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 December 31, 2013

8159 W DEANNA DR, PEORIA, AZ 85382(480) 236-2677 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keita Willis NPPES

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

KEITA WILLIS (NPI 1497176937) is an individual respite care, mental illness, child provider in Peoria, Arizona, licensed in Arizona (5374347) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1497176937

Entity TypeIndividualFemale

Primary Taxonomy385HR2055X

Provider Legal NameKEITA WILLIS

Location Address8159 W DEANNA DRPeoria, AZ 85382-3456

Mailing Address8159 W Deanna DrPeoria, AZ 85382-3456 · (480) 236-2677

Phone(480) 236-2677

Sole ProprietorYes

Enumeration DateDecember 31, 2013

✔ NPI 1497176937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRespite Care · Respite Care, Mental Illness, ChildRespite Care Facility

Taxonomy Code385HR2055X

License✔ Licensed in AZ · 5374347

Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.

8159 W DEANNA DR, Peoria, AZ 85382

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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 Keita Willis's NPI number?

The NPI number for Keita Willis is 1497176937. It was assigned to this individual provider in the NPPES registry on December 31, 2013.

Where is Keita Willis located?

Keita Willis practices at 8159 W Deanna Dr, Peoria, AZ 85382. The listed phone number is (480) 236-2677.

What is Keita Willis's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Mental Illness, Child, with taxonomy code 385HR2055X.

When was this NPI record last updated?

The NPPES record for Keita Willis was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.