Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Willis, DC

Individual provider Chiropractor · NPI 1093992539

Nicole Willis, DC is a Chiropractic in Meridian, Idaho. Graduated from Cleveland Chiropractic College - Kansas City in 2007, 19 years ago. Practices with Willis Family Chiropractic, LLC, a 2-clinician group. Licensed in Idaho.

Years since qualifying
19
Trained at
Cleveland Chiropractic College - Kansas City
Licensed in
ID
In the registry since
2008
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1570 E Heritage Park St Ste 175
Meridian, ID 83646-6445
Phone: (208) 322-4114
Fax: (208) 322-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA-1268 (ID)

Record details

NPI number1093992539
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 28, 2008
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020
Mailing address1570 E Heritage Park St, Ste 175, Meridian, ID 83646-6445

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolCLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduated 2007 (19 years in practice)
Group practice Willis Family Chiropractic, Llc — 2 clinicians
Accepts Medicare assignment Not indicated

Other providers in Meridian