Individual provider Active NPI

Antwon Woodcox

  • Licensed Practical Nurse
  • Litchfield Park, AZ
National Provider Identifier
1043842149
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
229542 Issued in AZ
Practice address
272 E Sagebrush St
Litchfield Park, AZ 85340-4934
Phone
(623) 535-6000
NPI assigned
Feb 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 229542 AZ Primary

Addresses

Primary practice location

272 E Sagebrush St
Litchfield Park, AZ 85340-4934

Mailing address

272 E Sagebrush St
Litchfield Park, AZ 85340-4934

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL email
Other URL email
Other URL antwon.woodcox@gmail.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
229542AZMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Corte Sierra Elementary School PastSince Feb 9, 2020 Accepting new patients
Litchfield School District #79 PastSince Feb 9, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1043842149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 E SAGEBRUSH ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 E SAGEBRUSH ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404934",
            "telephone_number": "623-535-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOX",
        "first_name": "ANTWON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "229542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "272 E Sagebrush St",
            "city": "Litchfield Park",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853404934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "272 E Sagebrush St",
            "city": "Litchfield Park",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853404934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "antwon.woodcox@gmail.com",
            "affiliation": "N",
            "address_1": "272 E Sagebrush St",
            "city": "Litchfield Park",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853404934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.