Organization Active NPI

Willow Tree Holistic Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1053126110
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WILLOW TREE HOLISTIC HEALTH
Practice address
2927 Iwv Road SW
Iowa City, IA 52246
Phone
(319) 281-0290
Fax
(319) 500-4642
NPI assigned
Feb 7, 2025
Last updated
Feb 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jami Lorraine Witbeck, ARNP
Title
Arnp, Pmhnp-BC
Phone
(563) 260-7223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2927 Iwv Road SW
Iowa City, IA 52246

Mailing address

450 Highway 1 W Ste 176
Iowa City, IA 52246-4204
Phone (319) 281-0290

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1053126110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HIGHWAY 1 W STE 176",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464204",
            "telephone_number": "319-281-0290",
            "fax_number": "319-500-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 IWV ROAD SW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52246",
            "telephone_number": "319-281-0290",
            "fax_number": "319-500-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE HOLISTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "WITBECK",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "ARNP, PMHNP-BC",
        "authorized_official_telephone_number": "563-260-7223",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.