Jessica A. Willison, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

359 Issued in FL

Practice address

2750 Taylor Ave Ste A19
Orlando, FL 32806-4474

Phone

(407) 717-4704

NPI assigned

Feb 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica A. Spalding Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1235630849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 PLAZA TERRACE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328032816",
            "telephone_number": "407-717-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 TAYLOR AVE STE A19",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064474",
            "telephone_number": "407-717-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLISON",
        "first_name": "JESSICA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LM, CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "359",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SPALDING",
            "middle_name": "A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kurt Alexander Willis, PHARMD
• Marjorie Ann Willis, LMHC
• Rebecca Willis
• Sabria Willis
• William H Willis VII, MD
• Alexis Wills
• Jerica Lynn Wills, NP-C
• Precious Wills
• Amanda Lynn Wilmot, D.O.
• Marlene Andreia Wilmot, MA

• Midwife in Orlando, FL
• Providers in Orlando, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.