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Active NPI 1780322644 Individual Practitioner Female Practitioner

Dusty Mahealani Willis , LPN

Licensed Practical Nurse • Boulder City, NV

Professional Overview & Biography Verified Profile Summary

Dusty Willis, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Boulder City, NV. Practice services are available at 100 VETERANS MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Veterans Memorial Dr

Boulder City, NV 890051926

Telephone 7023326784

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Boulder City, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Boulder City, NV (560 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-05-21
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NV 835700

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Hawaii Board Of Nursing - Pvl
LPN-10376 (HI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Audrey Conway

Speech-Language Pathologist

NPI 1023973328
Hailee Dumond , COTA

Occupational Therapy Assistant

NPI 1144806837

Certified Occupational Therapy Assistant

Ronald Scheiffele

Occupational Therapy Assistant

NPI 1245072578
Shannon Goldston , COTA, L

Occupational Therapy Assistant

NPI 1518577097

Certified Occupational Therapy Assistant, L

Julie Zapf , COTA, L

Occupational Therapy Assistant

NPI 1538939954

Certified Occupational Therapy Assistant, L

Audrey Nissen

Speech-Language Pathologist

NPI 1649874603

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2022

Registered at 100 VETERANS MEMORIAL DR, BOULDER CITY, NV 890051926 (Tel: 7023326784)

📍
Updated Business Mailing Address May 21, 2022

Registered at 177 VITALE AVE, HENDERSON, NV 890029208 (Tel: 8083874705)

👤
Provider Name / Credentials Updated May 21, 2022

Recorded as DUSTY WILLIS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2022

Licensed Practical Nurse (License #835700 in NV)

🟢
Initial NPI Registration & Enumeration May 21, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780322644
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2022
Last Update: May 21, 2022
Sole Proprietor: No

Mailing Address

177 Vitale Ave

Henderson, NV 890029208

Phone: 8083874705

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.