Individual provider Active NPI

Tessa Huizenga, RN, CNM, WHNP-BC

  • Advanced Practice Midwife
  • Salem, OR
National Provider Identifier
1366288243
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10057278 Issued in OR
Practice address
13160 Jerusalem Hill Rd NW
Salem, OR 97304-9622
Phone
(503) 315-2229
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10057278 OR
Women's Health Nurse Practitioner 363LW0102X APN.1001511-NP CO
Advanced Practice Midwife 367A00000X 10057278 OR Primary
Registered Nurse 163W00000X RN.1642366 CO
Advanced Practice Midwife 367A00000X APN.1000720-CNM CO
Women's Health Nurse Practitioner 363LW0102X 10057278 OR

Addresses

Primary practice location

13160 Jerusalem Hill Rd NW
Salem, OR 97304-9622

Mailing address

13160 Jerusalem Hill Rd NW
Salem, OR 97304-9622
Phone (503) 315-2229

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)
Not enrolled
Credentials
Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.1642366COMDRegistered Nurse
APN.1001511-NPCOMDWomen's Health Nurse Practitioner
10057278ORMDWomen's Health Nurse Practitioner
APN.1000720-CNMCOMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1366288243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 JERUSALEM HILL RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973049622",
            "telephone_number": "503-315-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 JERUSALEM HILL RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973049622",
            "telephone_number": "503-315-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUIZENGA",
        "first_name": "TESSA",
        "credential": "RN, CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10057278",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.1001511-NP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10057278",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1642366",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.1000720-CNM",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "10057278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.