NPI age
9 years
Enumerated 2016-05-27
● Active
Type 1 · Individual
Shawndae Nicole Willis
Willis is 1 of 30 technician, other providers in Fort Worth and 1 of 804 in Texas.
Primary specialty
Technician, Other
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2016-05-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 804 active technician, other providers in Texas.
NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
9121 Saint Kitts Rd
Fort Worth, TX 761233523
Mailing address
9121 Saint Kitts Rd
Fort Worth, TX 761233523
Specialties
-
Technician, Other PrimaryA collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new technician, other provider has been added in Fort Worth in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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