Andrea Willems

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1655 Capitol St NE
Salem, OR 97301-7845

Phone

(503) 877-2815

NPI assigned

Jun 30, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Doulas of Salem, LLC

  • Doula
  • Salem, OR
  • NPI 1467003343
  NPD Authorized official
• PNW Birth & Family

  • Doula
  • Salem, OR
  • NPI 1336885169
  NPD Authorized official
• PNW Doulas

  • Doula
  • Salem, OR
  • NPI 1679191407
  NPD Authorized official

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1588281133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017845",
            "telephone_number": "503-877-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 CAPITOL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973017845",
            "telephone_number": "503-877-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLEMS",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "THW000104061",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "intakeq.com",
            "affiliation": "N",
            "address_1": "1655 Capitol St NE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973017845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willamette Valley Treatment Center
• Willamette Valley Treatment Center, Inc.
• Willamette Valley Wellness LLC
• Willamette Vascular Specialists, PC
• Willamette Vision Center Inc (Family Focus Vision Source)
• Melissa Willhoft, CADCII MSW
• William D. Bateman, DMD, LLC
• William J. Blaumer
• William J. Girsch, DDS
• William Nisbet M.D.,P.C.

• Doula in Salem, OR
• Providers in Salem, OR by specialty
• Doula in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.