Active NPI
Jodi Williamsen, CNM
- Advanced Practice Midwife
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 4704194578
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-4800
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 4704194578 | MI | Primary |
| Advanced Practice Midwife | 367A00000X | APRN11019955 | FL |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
PO Box 25317
Tampa, FL 33622-5317
Phone (132) 860-0338
Other practice location 1
1 Hurley Plz
SON, 5th Floor
Flint, MI 48503-5902
Phone (810) 262-9353
Other practice location 2
1560 Turf Ln
East Lansing, MI 48823-6392
Phone (517) 484-3000
Other practice location 3
1100 S Cedar St
Mason, MI 48854-2086
Phone (517) 484-3000
Other practice location 4
5002 W Lemon St
Tampa, FL 33609-1104
Phone (813) 286-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704194578 | MI | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Michigan, PC | Current | Accepting new patients | |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| Women's Care Florida LLC | Advanced Practice Midwife | Current | Accepting new patients |
| Uwh of Michigan PLC | Current | Accepting new patients |
Locations
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
5002 W Lemon St
Tampa, FL 33609
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1100 S Cedar St
Mason, MI 48854
Phone (517) 484-3000
46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200
Interoperability endpoints
- jwilliamsen845783@direct.hfhs.org
- jodiwilliamsen@aog.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Jackson, MI
- NPI 1790120863
-
- Obstetrics & Gynecology Physician
- East Lansing, MI
- NPI 1982352357
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Advanced Practice Midwife
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1902993207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25317",
"city": "TAMPA",
"state": "FL",
"postal_code": "336225317",
"telephone_number": "132-860-0338",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-4800"
}
],
"practiceLocations": [
{
"address_1": "1 Hurley Plz",
"address_2": "SON, 5th Floor",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485035902",
"country_code": "US",
"telephone_number": "810-262-9353",
"fax_number": "810-262-6031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1560 Turf Ln",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488236392",
"country_code": "US",
"telephone_number": "517-484-3000",
"fax_number": "517-484-6358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 S Cedar St",
"address_purpose": "LOCATION",
"city": "Mason",
"state": "MI",
"postal_code": "488542086",
"country_code": "US",
"telephone_number": "517-484-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5002 W Lemon St",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336091104",
"country_code": "US",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMSEN",
"first_name": "JODI",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MI",
"license": "4704194578",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN11019955",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.