Christopher David Woodall I, CPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1206827 Issued in KY

Practice address

80 Highway 2227
Somerset, KY 42503-1562

Phone

(606) 485-4003

Fax

(606) 425-4435

NPI assigned

Jun 15, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Christopher David Woodall I Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1013692391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HIGHWAY 2227",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031562",
            "telephone_number": "606-485-4003",
            "fax_number": "606-425-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HIGHWAY 2227",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031562",
            "telephone_number": "606-485-4003",
            "fax_number": "606-425-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "CPSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1206827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "WOODALL",
            "middle_name": "DAVID",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "CPSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Womens Care of Somerset Corp
• Womens Care of Somerset Corp
• Jetondia Wood, RN
• John Ralph Wood, DPH
• Ashlee Woodall, MSW
• Angela B Woodrum
• Deanna Woods, RN
• Amanda N Wooton
• Andrew Logan Worley
• Rhonda L. Wright, BS

• Peer Specialist in Somerset, KY
• Providers in Somerset, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.