Individual provider Active NPI

Julianne Watson, CNM

  • Advanced Practice Midwife
  • Roseburg, OR
National Provider Identifier
1104609031
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10013911 Issued in OR
Practice address
2300 NW Stewart Pkwy Ste 101
Roseburg, OR 97471-1414
Phone
(541) 236-0854
Fax
(877) 682-5603
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10013911 OR
Advanced Practice Midwife 367A00000X 10013911 OR Primary

Addresses

Primary practice location

2300 NW Stewart Pkwy Ste 101
Roseburg, OR 97471-1414

Mailing address

2300 NW Stewart Pkwy Ste 101
Roseburg, OR 97471-1414
Phone (541) 236-0854

Other identifiers 1

IdentifierTypeStateIssuer
500825272MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wild Flower Healthcare, LLC Advanced Practice Midwife CurrentSince Oct 21, 2025 Accepting new patients
Pacific Womens Center LLC CurrentSince Jan 6, 2024 Accepting new patients
Douglas County Childrens Center, Inc PastSince Aug 1, 2023 Accepting new patients
Peacehealth Past Accepting new patients

Locations

10 Coburg Rd
Ste 100
Eugene, OR 97401
Phone (541) 342-8616

2300 NW Stewart Pkwy
Ste 101
Roseburg, OR 97471
Phone (541) 236-0854

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAIAED/Endpoint/GAIAED

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1104609031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 NW STEWART PKWY STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711414",
            "telephone_number": "541-236-0854",
            "fax_number": "877-682-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 NW STEWART PKWY STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711414",
            "telephone_number": "541-236-0854",
            "fax_number": "877-682-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JULIANNE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10013911",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10013911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500825272",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.