Active NPI
Susan Gail Woods, MS, RD/LD
- Registered Dietitian
- Midwest City, OK
National Provider Identifier
1033211628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 713
- Practice address
- 2056 Westbury Dr
Midwest City, OK 73130-8209 - Phone
- (405) 550-7985
- Fax
- (405) 769-9247
- NPI assigned
- Sep 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 713 | OK | Primary |
Addresses
Primary practice location
2056 Westbury Dr
Midwest City, OK 73130-8209
Mailing address
2056 Westbury Dr
Midwest City, OK 73130-8209
Phone (405) 550-7985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200042020C | Medicaid | OK |
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1033211628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2056 WESTBURY DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731308209",
"telephone_number": "405-550-7985",
"fax_number": "405-769-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2056 WESTBURY DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731308209",
"telephone_number": "405-550-7985",
"fax_number": "405-769-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "SUSAN",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "MS, RD/LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": "713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200042020C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.