JODY WILLETTS – NPI #1992919583
Technician, Other

A 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 unnecessary by the user.

JODY WILLETTS is a technician located in MORENO VALLEY, CA. NPPES has assigned the NPI number 1992919583 to JODY WILLETTS on May 10, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name ANGELA CONNORS. The primary taxonomy selected by this provider is 247200000X from the Health Care Provider Taxonomy code set, which is classified as Technician, Other.

The NPI profile was previously updated about 17 years ago on Sep 22, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JODY WILLETTS below.

NPI Profile for
JODY WILLETTS

NPI Number
1992919583
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JODY WILLETTS
Other Name: ANGELA CONNORS
Primary location
11480 TIFFANY LANE
MORENO VALLEY, CA 92557
Phone: (714) 519-4121 Fax:
Mailing address
12625 FREDERICK ST
STE.L-5#149
MORENO VALLEY, CA 92553-5216
Phone: (714) 519-4121 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
247200000X
- Technician, Other (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.