1. Home
  2. Directory
  3. Ohio
  4. Dublin
  5. Licensed Practical Nurse
  6. NPI Profile

MS. MARY MIRANDA WILLIS LPN
NPI 1700185964
Licensed Practical Nurse in Dublin, OH

Active since March 26, 2011
525 METRO PL N STE 100, DUBLIN, OH 43017(855) 289-1722 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Miranda Willis Lpn NPPES

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

MS. MARY MIRANDA WILLIS LPN (NPI 1700185964) is an individual licensed practical nurse in Dublin, Ohio, licensed in Ohio (LPN.131177.MEDS-IV) and active in the NPI registry since March 2011. She maintains a secondary practice location in Kent.

NPPES Registry Identity

NPI1700185964
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. MARY MIRANDA WILLISCredential: LPN
Location Address525 METRO PL N STE 100Dublin, OH 43017-5343
Mailing Address525 Metro Pl N Ste 100Dublin, OH 43017-5343 · (855) 289-1722
Phone(855) 289-1722
Sole ProprietorYes
Enumeration DateMarch 26, 2011
Last NPPES UpdateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1700185964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
Licenses✔ Licensed in OH · LPN.131177.MEDS-IV✔ Licensed in OH · PN131177
Definition
A licensed practical 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. Requirements for education, experience, licensure, and job responsibilities vary among the states.
525 METRO PL N STE 100, Dublin, OH 43017
Open in Google Maps ↗

Secondary Practice Location 1

Location 1303 Rellim DrKent, OH 44240-4531 · Phone (330) 431-2905

Other Identifiers 1

Medicaid2910854OH

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.

KIERSTEN HANNAH
Case Manager/Care Coordinator
525 METRO PL N STE 100
DUBLIN, OH 43017
Franklin County (614) 339-1638
TORRIE MITCHELL
Case Manager/Care Coordinator
525 METRO PL N STE 100
DUBLIN, OH 43017
Franklin County (614) 339-1649
LORETTA WILSON CDCA, PEER SUPPORT
Case Manager/Care Coordinator
525 METRO PL N STE 100
DUBLIN, OH 43017
Franklin County (614) 339-0806
JAMES D BROWNING JR.
Case Manager/Care Coordinator
525 METRO PL N STE 100
DUBLIN, OH 43017
Franklin County (614) 339-1649
KAYLA HARRIS
Case Manager/Care Coordinator
525 METRO PL N STE 100
DUBLIN, OH 43017
Franklin County (765) 381-8423
LAUREN GETZ
Case Manager/Care Coordinator
525 METRO PL N STE 100
DUBLIN, OH 43017
Franklin County (614) 339-0806
DANIELLE N STITH-GRIMES
Case Manager/Care Coordinator
525 METRO PL N STE 100
DUBLIN, OH 43017
Franklin County (855) 289-1722
PAUL OGG
Case Manager/Care Coordinator
525 METRO PL N STE 100
DUBLIN, OH 43017
Franklin County (855) 289-1722

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 Mary Willis's NPI number?

The NPI number for Mary Willis is 1700185964. It was assigned to this individual provider in the NPPES registry on March 26, 2011.

Where is Mary Willis located?

Mary Willis practices at 525 Metro Pl N Ste 100, Dublin, OH 43017. The listed phone number is (855) 289-1722.

What is Mary Willis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Willis was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.