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

Rieketta Danyelle Willis

Individual provider Personal Care Attendant · NPI 1790378073

Rieketta Danyelle Willis is a Personal Care Attendant in Indianapolis, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

2055 N Keystone Ave
Indianapolis, IN 46218-3562
Phone: (317) 658-9315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X · Licence 20-015099-1 (IN)
Personal Care Attendant Taxonomy 3747P1801X · Licence 20-015099-1 (IN)
Home Health Aide Taxonomy 374U00000X · Licence 20-015099-1 (IN)
Homemaker Taxonomy 376J00000X · Licence 20-015099-1 (IN)

Record details

NPI number1790378073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2021
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 17, 2021
Mailing address2055 N Keystone Ave, Indianapolis, IN 46218-3562

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