MRS. KANISHA NICOLE WILLIS
NPI 1962748129
Counselor - Professional in Oklahoma City, OK

Q: What is Kanisha Willis's NPI number?

The NPI number for Kanisha Willis is 1962748129. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Q: What is Kanisha Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kanisha Willis was last updated on May 19, 2014. 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 17, 2012

1700 EVERGLADE CT, OKLAHOMA CITY, OK 73128(405) 301-5516 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mrs. Kanisha Nicole Willis NPPES

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

MRS. KANISHA NICOLE WILLIS (NPI 1962748129) is an individual professional provider in Oklahoma City, Oklahoma and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1962748129

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KANISHA NICOLE WILLIS

Location Address1700 EVERGLADE CTOklahoma City, OK 73128-7002

Mailing Address1700 Everglade CtOklahoma City, OK 73128-7002 · (405) 301-5516

Phone(405) 301-5516

Sole ProprietorYes

Enumeration DateDecember 17, 2012

Last NPPES UpdateMay 19, 2014

✔ NPI 1962748129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

1700 EVERGLADE CT, Oklahoma City, OK 73128

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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 Kanisha Willis's NPI number?

The NPI number for Kanisha Willis is 1962748129. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Where is Kanisha Willis located?

Kanisha Willis practices at 1700 Everglade Ct, Oklahoma City, OK 73128. The listed phone number is (405) 301-5516.

What is Kanisha Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kanisha Willis was last updated on May 19, 2014. 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.