Deborah Ann Wood

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

00007319 Issued in WA

Practice address

22626 255TH PL SE
Maple Valley, WA 98038-6721

Phone

(206) 714-2848

NPI assigned

Aug 15, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1033992078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22626 255TH PL SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386721",
            "telephone_number": "206-714-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22626 255TH PL SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386721",
            "telephone_number": "206-714-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 112th Ave NE Ste 112",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043718",
            "country_code": "US",
            "telephone_number": "206-714-2848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "00007319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilderness Shores Supplies, LLC
• Kristin Marie Wilkins, DPT
• Ethan Wilson, LMP
• Within Pelvic Health PT, PLLC
• Brianna Llyn Wood, M.A.
• Lucy Wu
• Liang Xu, LMT
• Sugandhi Yaduwanshi
• Jamie Rose Young
• Nafiso Dahir Yusuf

• Dental Hygienist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.