Individual provider Active NPI

Andrea Wood

  • Registered Nurse
  • Berkeley, CA
National Provider Identifier
1063695427
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN567241 Issued in CA
Practice address
1947 Center St
2ND Floor
Berkeley, CA 94704-1169
Phone
(541) 098-1768
Fax
(510) 981-5345
NPI assigned
Dec 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN567241 CA Primary

Addresses

Primary practice location

1947 Center St
2ND Floor
Berkeley, CA 94704-1169

Mailing address

1947 Center St
2ND Floor
Berkeley, CA 94704-1169
Phone (541) 098-1768

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN567241CAMDRegistered Nurse
1340CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
City of Berkeley Past Accepting new patients
City of Berkeley Targeted Case Management Past Accepting new patients
City of Berkeley Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1063695427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 CENTER ST",
            "address_2": "2ND FLOOR",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041169",
            "telephone_number": "541-098-1768",
            "fax_number": "510-981-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 CENTER ST",
            "address_2": "2ND FLOOR",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041169",
            "telephone_number": "541-098-1768",
            "fax_number": "510-981-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN567241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.