Active NPI
Katherine E Wood, RN,BA
- Registered Nurse
- Camp Hill, PA
National Provider Identifier
1073738191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041-341375
- Practice address
- 30 Hunter LN
Camp Hill, PA 17011-2499 - Phone
- (800) 748-3243
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041341375 | IL | |
| Registered Nurse | 163W00000X | 041-341375 | IL | Primary |
Addresses
Primary practice location
30 Hunter LN
Camp Hill, PA 17011-2499
Mailing address
PO Box 710
Decatur, IL 62525-0710
Phone (217) 362-6262
Other practice location 1
151 N Main St
Decatur, IL 62523-1206
Phone (217) 362-6262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041-341375 | Other | IL | RN LICENSURE |
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
- Credentials
- Bachelor of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-341375 | IL | MD | Registered Nurse |
| 041341375 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1073738191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 710",
"city": "DECATUR",
"state": "IL",
"postal_code": "625250710",
"telephone_number": "217-362-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HUNTER LN",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112499",
"telephone_number": "800-748-3243"
}
],
"practiceLocations": [
{
"address_1": "151 N Main St",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "IL",
"postal_code": "625231206",
"country_code": "US",
"telephone_number": "217-362-6262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "KATHERINE",
"middle_name": "E",
"credential": "RN,BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041341375",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-341375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSURE",
"identifier": "041-341375",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.