Shanee Nicole Woodard, R.N

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1957 Williamstown Dr
Saint Peters, MO 63376-8106

Phone

(314) 583-3066

Fax

(636) 281-0992

NPI assigned

Aug 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344124800000",
    "number": "1023365491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12685 DORSETT RD # 332",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432100",
            "telephone_number": "314-583-3066",
            "fax_number": "636-281-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 WILLIAMSTOWN DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633768106",
            "telephone_number": "314-583-3066",
            "fax_number": "636-281-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "SHANEE",
        "middle_name": "NICOLE",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-05",
        "last_updated": "2012-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2012; 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.