Cynthia Kay Wood, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

257487 Issued in AZ

Practice address

4520 N 12TH St Ste 103
Phoenix, AZ 85014-4250

Phone

(602) 753-2345

Fax

(602) 419-3062

NPI assigned

May 31, 2021

Last updated

Jun 16, 2021By the provider in NPPES

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

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1033785118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 N 12TH ST STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144250",
            "telephone_number": "602-753-2345",
            "fax_number": "602-419-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 N 12TH ST STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850144250",
            "telephone_number": "602-753-2345",
            "fax_number": "602-419-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "CYNTHIA",
        "middle_name": "KAY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "257487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Park Wood
• Catherine Wood, DO
• Chloe Wood, MD
• Christine Wood
• Christopher Ray Wood, D.C.
• Deana Wood, FNP-C
• Jennifer Lynn Wood, PNP
• Joanne P Wood, COTA/L
• Joseph P Wood, M.D.
• Julie Wood

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.