Willow Midwives LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WILLOW MIDWIVES LTD

Practice address

3033 Excelsior Blvd
Suite 585
Minneapolis, MN 55416-4688

Phone

(952) 212-6801

NPI assigned

Oct 1, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cheryl Anderson Heitkamp

Title

President

Phone

(612) 345-5920

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Collins, CPM, LM

  • Midwife
  • Minneapolis, MN
  • NPI 1184367518
  NPD (past)
• Krista Marie Johnson, CNM, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • St Louis Park, MN
  • NPI 1033855416
  NPD (past)
• Cornell Faye Zbikowski, CPM

  • Lay Midwife
  • Minneapolis, MN
  • NPI 1174247027
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1801299128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BLVD STE 585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554166400",
            "telephone_number": "612-345-5920",
            "fax_number": "844-562-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 EXCELSIOR BLVD",
            "address_2": "SUITE 585",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164688",
            "telephone_number": "952-212-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MIDWIVES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "HEITKAMP",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-345-5920"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "MN",
            "license": "31316",
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801299128",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakira Marie Willis
• Tisha Willis, FNP
• Lisa Willms, CD(DONA)
• Allison Willner, OTR/L
• Willow Midwives LTD
• Willow Residence LLC
• Willow Wellbeing, LLC
• Carol Elaine Willow, LICSW
• Christie Ann Wills, APRN, NP-C
• Karen E Wills, PHD LP

• Primary Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.