Active NPI
Jenna Lynne Wilson
- Midwife
- Santa Barbara, CA
National Provider Identifier
1649685066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- CALM 392
- Practice address
- 2958 State Street
Santa Barbara, CA 93105 - Phone
- (805) 705-5571
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | CALM 392 | CA | Primary |
Addresses
Primary practice location
2958 State Street
Santa Barbara, CA 93105
Mailing address
2958 State Street
Santa Barbara, CA 93105
Other names 1
- Ms. Jenna Lynne Humphreys
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CALM 392 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1649685066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2958 STATE STREET",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2958 STATE STREET",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93105",
"telephone_number": "805-705-5571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JENNA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "CALM 392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "HUMPHREYS",
"middle_name": "LYNNE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.