Julie Ma Willkom, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

754149 Issued in CA

Practice address

1411 East 31St Street
Highland Care Pavilion, TB Clinic, 5TH Floor
Oakland, CA 94602

Phone

(510) 437-6466

Fax

(510) 535-7675

NPI assigned

Feb 6, 2019

Last updated

Feb 6, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alameda Health System

  dba Newark Health Center

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1457816142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 EAST 31ST STREET",
            "address_2": "ACT 1ST FLOOR, INFECTION CONTROL, ROOM 1703",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "510-535-7701",
            "fax_number": "510-535-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 EAST 31ST STREET",
            "address_2": "HIGHLAND CARE PAVILION, TB CLINIC, 5TH FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94602",
            "telephone_number": "510-437-6466",
            "fax_number": "510-535-7675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "664 Southland Mall Drive",
            "address_2": "Hayward Wellness Center - TB Clinic",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "94545",
            "country_code": "US",
            "telephone_number": "510-266-1700",
            "fax_number": "510-535-7675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLKOM",
        "first_name": "JULIE",
        "middle_name": "MA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "754149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydell Willis
• Lynn L Willis
• Monifa Willis, MA
• Skyelar Willis
• Taia Lashawn Willis, AMFT
• Willliam L Spivey PH.D. Psychological Corporation a Profes Corp (Family & Child Counseling Center)
• Jennifer Willmann
• Adisa Joanna Willmer, M.D.
• Willpower Health and Fitness
• Charlotte Page Wills, MD

• Ambulatory Care Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Ambulatory Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.