FRED SPENCER WILLIS III
NPI 1780387381
Student in an Organized Health Care Education/Training Program in Metairie, LA

Q: What is Fred Willis's NPI number?

The NPI number for Fred Willis is 1780387381. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Q: What is Fred Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Fred Willis was last updated on March 23, 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.

Active since March 23, 2023PECOS Enrolled

832 OAKLAWN DR, METAIRIE, LA 70005(318) 518-0739 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Fred Spencer Willis Iii NPPES

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

FRED SPENCER WILLIS III (NPI 1780387381) is an individual student in an organized health care education/training program in Metairie, Louisiana and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780387381

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameFRED SPENCER WILLIS III

Location Address832 OAKLAWN DRMetairie, LA 70005-1646

Mailing Address832 Oaklawn DrMetairie, LA 70005-1646

Phone(318) 518-0739

Sole ProprietorNo

Enumeration DateMarch 23, 2023

NPPES CertifiedMarch 23, 2023

✔ NPI 1780387381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

832 OAKLAWN DR, Metairie, LA 70005

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fred Spencer Willis Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Fred Willis's NPI number?

The NPI number for Fred Willis is 1780387381. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Fred Willis located?

Fred Willis practices at 832 Oaklawn Dr, Metairie, LA 70005. The listed phone number is (318) 518-0739.

What is Fred Willis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Fred Willis enrolled in Medicare?

Yes. Fred Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fred Willis was last updated on March 23, 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.