Active NPI
Jennifer Wood
- Certified Registered Nurse Anesthetist
- Chicago, IL
National Provider Identifier
1023550688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041445801
- Practice address
- 550 W Arlington PL Apt 801
Chicago, IL 60614-6429 - Phone
- (616) 402-7013
- NPI assigned
- Nov 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1033676 | DC | |
| Registered Nurse | 163W00000X | 041445801 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 113372 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 041445801 | IL | Primary |
Addresses
Primary practice location
550 W Arlington PL Apt 801
Chicago, IL 60614-6429
Mailing address
550 W Arlington PL Apt 801
Chicago, IL 60614-6429
Other practice location 1
1919 19th St NW
Apt 203
Washington, DC 20009-1258
Phone (616) 402-7013
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1033676 | DC | MD | Registered Nurse |
| 041445801 | IL | MD | Certified Registered Nurse Anesthetist |
| 113372 | IL | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023550688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W ARLINGTON PL APT 801",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W ARLINGTON PL APT 801",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146429",
"telephone_number": "616-402-7013"
}
],
"practiceLocations": [
{
"address_1": "1919 19th St NW",
"address_2": "Apt 203",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200091258",
"country_code": "US",
"telephone_number": "616-402-7013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1033676",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041445801",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "113372",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041445801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.