Jenica Marissa Willis, LM, CPM, LVN, IBCLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LM764 Issued in CA

Practice address

1031 17TH Street
Bakersfield, CA 93301-6172

Phone

(661) 234-9894

Fax

(661) 360-6243

NPI assigned

Dec 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Willis Education

  • Midwife
  • Bakersfield, CA
  • NPI 1023588308

  Lactation Consultant, Non-RN

  NPD Authorized official

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": []
}

• Willis Education
• Willis Education
• Christopher Rockshawn Willis, RAS
• Grace Roselle Willis, DO
• Jacquelyn Rose Willis
• Judy Willis
• Krystal Dawn Willis, CMA
• Robert E Willis, DDS
• Doryne Joele Willms Cosgrove, PTA
• Selena Wills, MPH

• Midwife in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Midwife in California

• 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.

Verify at the official NPI Registry.