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KATHERINE WILLIS
NPI 1710201397
Nurse Practitioner in Charlotte, NC

Active since March 25, 2010
1021 MOREHEAD MEDICAL DR, SUITE A, CHARLOTTE, NC 28204(980) 442-2000 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2019, Feb 12, 2019, Jan 16, 2019 and 7 more (10 updates tracked since 2017).

About Katherine Willis NPPES

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

KATHERINE WILLIS (NPI 1710201397) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5005136) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1710201397
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE WILLIS
Location Address1021 MOREHEAD MEDICAL DR, SUITE ACharlotte, NC 28204-2990
Mailing Address1021 Morehead Medical Dr, Suite ACharlotte, NC 28204-2990
Phone(980) 442-2000
Sole ProprietorNo
Enumeration DateMarch 25, 2010
Last NPPES UpdateApril 15, 201910 updates tracked since enumeration
✔ NPI 1710201397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5005136
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1021 MOREHEAD MEDICAL DR, Charlotte, NC 28204
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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.

ARMIDA PARALA-METZ MD
Internal Medicine (Hospice and Palliative Medicine)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MANISHA BHUTANI MD
Internal Medicine (Hematology)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
TRISHA WOOTEN FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
VALERIE DENISE TAYLOR PA
Physician Assistant
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
MICHAEL SHELDON RICHARDSON MD
Internal Medicine
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
LEAH HOWE CUPP FNP
Nurse Practitioner (Family)
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
DEBA SARMA MD
Surgery
1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000
PETER EARL CLARK MD
Urology
1021 MOREHEAD MEDICAL DR, STE 6100
CHARLOTTE, NC 28204
Mecklenburg County (980) 442-2000

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 Katherine Willis's NPI number?

The NPI number for Katherine Willis is 1710201397. It was assigned to this individual provider in the NPPES registry on March 25, 2010.

Where is Katherine Willis located?

Katherine Willis practices at 1021 Morehead Medical Dr Suite A, Charlotte, NC 28204. The listed phone number is (980) 442-2000.

What is Katherine Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Katherine Willis was last updated on April 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.