Active NPI
Willow Blossom Births, LLC
- Doula
- Raeford, NC
National Provider Identifier
1194691113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Legal business name
- WILLOW BLOSSOM BIRTHS, LLC
- Practice address
- 181 Iris St
Raeford, NC 28376-5853 - Phone
- (904) 468-7223
- NPI assigned
- Oct 15, 2025
- Last updated
- Oct 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Wooten
- Title
- Owner
- Phone
- (336) 543-3706
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | NU | Primary |
Addresses
Primary practice location
181 Iris St
Raeford, NC 28376-5853
Mailing address
12693 Sampson Rd
Jacksonville, FL 32218-2340
Phone (904) 468-7223
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Orange Park, FL
- NPI 1811654536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760486400000",
"number": "1194691113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12693 SAMPSON RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322182340",
"telephone_number": "904-468-7223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 IRIS ST",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283765853",
"telephone_number": "904-468-7223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW BLOSSOM BIRTHS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A",
"authorized_official_last_name": "WOOTEN",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-543-3706"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.