KELLY AMBER WILLETT PA-S
NPI 1932991429
Student in an Organized Health Care Education/Training Program in Anchorage, AK

Active since May 20, 2025
3211 PROVIDENCE DR, ANCHORAGE, AK 99508(206) 616-4001 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Amber Willett Pa-s NPPES

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

KELLY AMBER WILLETT PA-S (NPI 1932991429) is an individual student in an organized health care education/training program in Anchorage, Alaska and active in the NPI registry since May 2025. She maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1932991429
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY AMBER WILLETTCredential: PA-S
Location Address3211 PROVIDENCE DRAnchorage, AK 99508-4614
Mailing Address3211 Providence Dr Unit BAnchorage, AK 99508-4614 · (907) 406-0097
Sole ProprietorNo
Enumeration DateMay 20, 2025
NPPES CertifiedMay 20, 2025
NPI 1932991429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
3211 PROVIDENCE DR, Anchorage, AK 99508

Secondary Practice Location 1

Location 13211 Providence Dr Unit BAnchorage, AK 99508-4614 · Phone (907) 406-0097

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3211 PROVIDENCE DR
ANCHORAGE, AK 99508
Social Worker
3211 PROVIDENCE DR
ANCHORAGE, AK 99508
Nurse Practitioner
3211 PROVIDENCE DR, RASMUSON HALL, SUITE 116
ANCHORAGE, AK 99508
Day Training, Developmentally Disabled Services
3211 PROVIDENCE DR
ANCHORAGE, AK 99508
Specialist/Technologist (Athletic Trainer)
3211 PROVIDENCE DR
ANCHORAGE, AK 99508
Registered Nurse
3211 PROVIDENCE DR, UAA STUDENT HEALTH CENTER, RASMUSSEN HALL
ANCHORAGE, AK 99508
Social Worker (Clinical)
3211 PROVIDENCE DR
ANCHORAGE, AK 99508
Nurse Practitioner
3211 PROVIDENCE DR
ANCHORAGE, AK 99508

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 Kelly Willett's NPI number?

The NPI number for Kelly Willett is 1932991429. It was assigned to this individual provider in the NPPES registry on May 20, 2025.

Where is Kelly Willett located?

Kelly Willett practices at 3211 Providence Dr, Anchorage, AK 99508. The listed phone number is (206) 616-4001.

What is Kelly Willett's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Willett was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.