Organization Active NPI

Wild Flower Healthcare, LLC

  • Advanced Practice Midwife
  • Roseburg, OR
National Provider Identifier
1255276135
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
WILD FLOWER HEALTHCARE, LLC
Practice address
2300 NW Stewart Pkwy Ste 101
Roseburg, OR 97471-1414
Phone
(541) 236-0854
Fax
(877) 682-5603
NPI assigned
Apr 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Julianne Watson, CNMNPI 1104609031
Title
Owner
Phone
(541) 236-0854

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)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2343157Wild Flower Healthcare, LLC2300 NW Stewart Pkwy, Ste 101, Roseburg, OR 97471Certificate of waiverApr 30, 2028

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1255276135",
    "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": {
        "organization_name": "WILD FLOWER HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-236-0854",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.