Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Shawndae Nicole Willis
Other Technician in Fort Worth, TX · enumerated 2016.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1073961272
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Registry record
Entity type Individual (Type 1)
Name Shawndae Nicole Willis
Sex Female
Practice address 9121 Saint Kitts Rd, Fort Worth, TX, 76123
Phone (817) 907-3961
Enumeration date May 27, 2016
Last updated in NPPES May 27, 2016
Taxonomy & licenses
247200000X Other Technician Technologists, Technicians & Other Technical Service Providers · License 247200000X Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Shawndae Willis?
Shawndae Willis is registered in NPPES with the primary taxonomy of Other Technician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-27.