Joanna Louise Wilder, APRN-NP, CNM, CPM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

10001034 Issued in OR

Practice address

12665 SW Hall Blvd
Tigard, OR 97223-6217

Phone

(503) 896-0170

Fax

(971) 264-5335

NPI assigned

Aug 20, 2010

Sex

Female

Sole proprietor

Yes

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

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1659687283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 SW HALL BLVD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236217",
            "telephone_number": "503-896-0170",
            "fax_number": "971-264-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 SW HALL BLVD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236217",
            "telephone_number": "503-896-0170",
            "fax_number": "971-264-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "JOANNA",
        "middle_name": "LOUISE",
        "credential": "APRN-NP, CNM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10001034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Ann Whiting
• Bill Whitney
• Chloe Yvonne Whitt
• Jason Cooper Whittington, DPT
• Brielle Madeline Wiener, BS
• Jaclyn P Wiley
• Latori Rose Marie Wilkerson
• Willamette Medical Labs, Inc.
• Willamette Wellness Home Care LLC
• Bryce Rustin Willcox, DMD, MS

• Advanced Practice Midwife in Tigard, OR
• Providers in Tigard, OR by specialty
• Advanced Practice Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; 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.