NPIMap

Individual provider Active NPI

Martha Kristin Woodside, FNP-C

  • Nurse Practitioner
  • Mt Pleasant, TN
National Provider Identifier
1033824461
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
33221 Issued in TN
Practice address
200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714
Phone
(931) 379-5821
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 33221 TN Primary

Addresses

Primary practice location

200 S Cross Bridges Rd
Mt Pleasant, TN 38474-1714

Mailing address

617 W Main St
Hohenwald, TN 38462-1355
Phone (931) 796-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503001347 TN Practitioner - Nurse Practitioner 1456716075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

3316 Hwy 43 N
Suite 200
Ethridge, TN 38456-2136
Phone (931) 244-6090

Hospital & facility affiliations

  • NHC Homecare of Columbia Home health agency, Columbia, TN, CCN 447125
  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
  • Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309
  • Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33221TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Hospital Current Accepting new patients
Maury Regional Hospital CurrentSince Mar 27, 2023 Accepting new patients
Maury Regional Hospital Current Accepting new patients
Maury Regional Hospital Current Accepting new patients
Maury Regional Hospital CurrentSince Mar 27, 2023 Accepting new patients
Maury Regional Hospital Marshall Medical Center Past Accepting new patients

Locations

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

3316 Highway 43 N
Ste 200
Ethridge, TN 38456
Phone (931) 244-6090

617 W Main St
Hohenwald, TN 38462
Phone (931) 796-4901

1080 N Ellington Pkwy
Lewisburg, TN 37091
Phone (615) 359-6241

200 S Cross Bridges Rd
Mt Pleasant, TN 38474
Phone (931) 379-5821

Organizations & group practices 7

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 9

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": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1033824461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 W MAIN ST",
            "city": "HOHENWALD",
            "state": "TN",
            "postal_code": "384621355",
            "telephone_number": "931-796-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CROSS BRIDGES RD",
            "city": "MT PLEASANT",
            "state": "TN",
            "postal_code": "384741714",
            "telephone_number": "931-379-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "MARTHA",
        "middle_name": "KRISTIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "33221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TN

Sources for this page

Verify at the official NPI Registry.