Individual provider Active NPI

Wilna Marie Roberts, NMW765, RN354667

  • Advanced Practice Midwife
  • Paradise, CA
National Provider Identifier
1255476487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
NMW765 Issued in CA
Practice address
771 Buschmann Rd
Suite H
Paradise, CA 95969-5848
Phone
(530) 872-7579
Fax
(530) 872-5645
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X NMW765 CA Primary

Addresses

Primary practice location

771 Buschmann Rd
Suite H
Paradise, CA 95969-5848

Mailing address

771 Buschmann Rd
Suite H
Paradise, CA 95969-5848
Phone (530) 872-7579

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

State licenses

LicenseStateTypeSpecialty
NMW765CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Feather River Hospital Past Accepting new patients
Feather River Hospital PastSince Jun 12, 2011 Accepting new patients
Paradise Midwifery Services Past Accepting new patients

Organizations & group practices 3

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255476487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 BUSCHMANN RD",
            "address_2": "SUITE H",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695848",
            "telephone_number": "530-872-7579",
            "fax_number": "530-872-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 BUSCHMANN RD",
            "address_2": "SUITE H",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695848",
            "telephone_number": "530-872-7579",
            "fax_number": "530-872-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "WILNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NMW765, RN354667",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.