Willow Health and Aesthetics LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD22056 Issued in GA

Legal business name

WILLOW HEALTH AND AESTHETICS LLC

Practice address

1030 Willagillespie Rd
Eugene, OR 97401-2123

Phone

(541) 653-9158

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Dana L Higgins

Title

Owner

Phone

(541) 653-9158

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Willow Medical Spa for Women LLC Former legal business name

Locations

Practitioners 1

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

• Angela Marie Crothers, NP

  • Women's Health Nurse Practitioner
  • Eugene, OR
  • NPI 1669576781
  NPD

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1881961050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 WILLAGILLESPIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012123",
            "telephone_number": "541-653-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WILLAGILLESPIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012123",
            "telephone_number": "541-653-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HEALTH AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-653-9158",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "MD22056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134307",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "149865",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Medical Spa for Women LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alison Cornell Willis, BA
• Brittany Leigh Willis, OTR/L
• Emma Joy Willis
• Valerie Christine Willman, L.M.T.
• Dawna Renee Willoughby-Roberts
• Laura Willow
• Linda M Willow, LCSW, QMHP
• Jack Blanton Wills, M.S., P.A.
• Annette Willsey, LCSW
• Sandra Wilmot, FNP-C

• Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.