Individual provider Active NPI

Faith Woodside

  • Family Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1033787643
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2337726 Issued in MA
Practice address
230 Maple St Ste 1
Holyoke, MA 01040-5140
Phone
(413) 420-2200
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2337726 MA
Family Nurse Practitioner 363LF0000X RN2337726 MA Primary

Addresses

Primary practice location

230 Maple St Ste 1
Holyoke, MA 01040-5140

Mailing address

80 S Main St Unit 2
Natick, MA 01760-4922
Phone (508) 333-4702

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NextGen Direct Holyoke Health Center Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823002428 MA Practitioner - Nurse Practitioner 2365847720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyoke Health Center Inc.Group PAC ID 8527969302, 40 clinicians

Practice addresses (Care Compare)

230 Maple St
Holyoke, MA 01040-5144
Phone (413) 420-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2337726MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Health Center Inc. CurrentSince Aug 6, 2021 Accepting new patients
Chicopee Health Center Pharmacy CurrentSince Aug 6, 2021 Accepting new patients
Holyoke Health Center Inc. Current Accepting new patients
Holyoke Health Center Inc. PastSince Jun 15, 2021 Accepting new patients

Locations

505 Front St
Chicopee, MA 01013
Phone (413) 420-2222

230 Maple St
Ste 1
Holyoke, MA 01040
Phone (413) 420-6210

230 Maple St
Holyoke, MA 01040
Phone (413) 322-7380

Interoperability endpoints

  • Direct secure messaging: fwoodside21363@direct.ctc.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1033787643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST UNIT 2",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604922",
            "telephone_number": "508-333-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST STE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405140",
            "telephone_number": "413-420-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "FAITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2337726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2337726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NextGen",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Holyoke Health Center Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "230 Maple St Ste 1",
            "city": "Holyoke",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010405140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.