Heather L Witters, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM62131 Issued in ID

Practice address

1418 Grelle Ave
Lewiston, ID 83501-5830

Phone

(208) 790-2131

NPI assigned

Jul 23, 2019

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1790338291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 GRELLE AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015830",
            "telephone_number": "208-790-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 GRELLE AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015830",
            "telephone_number": "208-790-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTERS",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "CNM62131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Robert Willis, M.D.
• Wilson Polito PLLC
• Kim Janet Wilson, MD
• Sherry Wiseley
• John Richard Wisniewski Jr.
• David W. Wood, AU.D.
• Eric S Wood, PHARMD
• Roger Wesley Wood
• Sharon J Wood, RPH
• Nina J Woods, M.ED.,ED.,S.

• Advanced Practice Midwife in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Advanced Practice Midwife in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.