Individual provider Active NPI

Victoria Woodard, LPN

  • Licensed Practical Nurse
  • Fargo, ND
National Provider Identifier
1023954682
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L17328 Issued in ND
Practice address
4133 30TH Ave S Ste 103
Fargo, ND 58104-8421
Phone
(701) 499-4847
Fax
(701) 433-1882
NPI assigned
Apr 27, 2026
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L17328 ND Primary

Addresses

Primary practice location

4133 30TH Ave S Ste 103
Fargo, ND 58104-8421

Mailing address

4133 30TH Ave S Ste 103
Fargo, ND 58104-8421
Phone (701) 499-4847

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

LicenseStateTypeSpecialty
L17328NDMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Bauer-Olson, Family Doctor, PLLC PastSince May 21, 2023 Accepting new patients
Willow Health, PLLC PastSince Oct 1, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1023954682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 30TH AVE S STE 103",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048421",
            "telephone_number": "701-499-4847",
            "fax_number": "701-433-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 30TH AVE S STE 103",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048421",
            "telephone_number": "701-499-4847",
            "fax_number": "701-433-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "VICTORIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "L17328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.