Active NPI
Jenica Marissa Willis, LM, CPM, LVN, IBCLC
- Midwife
- Bakersfield, CA
National Provider Identifier
1962099804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM764
- Practice address
- 1031 17TH Street
Bakersfield, CA 93301-6172 - Phone
- (661) 234-9894
- Fax
- (661) 360-6243
- NPI assigned
- Dec 27, 2020
- Last updated
- Mar 15, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 286953 | CA | |
| Lactation Consultant (Non-RN) | 174N00000X | L-302379 | CA | |
| Midwife | 176B00000X | LM764 | CA | Primary |
Addresses
Primary practice location
1031 17TH Street
Bakersfield, CA 93301-6172
Mailing address
1031 17TH Street
Bakersfield, CA 93301
Phone (661) 234-9894
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jenicawillis@thenestandco.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 286953 | CA | MD | Licensed Vocational Nurse |
| L-302379 | CA | MD | Lactation Consultant (Non-RN) |
| LM764 | CA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willis Education | Lactation Consultant, Non-RN | Current | Accepting new patients |
| Willis Education | Past | Accepting new patients |
Locations
1031 17th St
Bakersfield, CA 93301
Phone (661) 234-9894
4208 Rosedale Hwy
Ste 202
Bakersfield, CA 93308
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Nest & Company
- Midwife
- Bakersfield, CA
- NPI 1023588308
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1962099804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 17TH STREET",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "93301",
"telephone_number": "661-234-9894",
"fax_number": "661-360-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 17TH STREET",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933016172",
"telephone_number": "661-234-9894",
"fax_number": "661-360-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "JENICA",
"middle_name": "MARISSA",
"name_prefix": "Mrs.",
"credential": "LM, CPM, LVN, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-27",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "286953",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "L-302379",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM764",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jenicawillis@thenestandco.com",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1031 17th Street",
"city": "Bakersfield",
"state": "CA",
"country_code": "US",
"postal_code": "93301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.