Active NPI
Natasha Celest Woodham, APRN
- Family Nurse Practitioner
- Lynn Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9244792
- Practice address
- 1612 Tennessee Ave Ste 300
Lynn Haven, FL 32444-3653 - Phone
- (850) 872-0774
- NPI assigned
- Mar 27, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9244792 | FL | Primary |
Addresses
Primary practice location
1612 Tennessee Ave Ste 300
Lynn Haven, FL 32444-3653
Mailing address
5819 Frank Hough Rd
Panama City, FL 32404-3062
Phone (850) 896-1285
Other practice location 1
210 E 11th St
Panama City, FL 32401-2939
Phone (850) 872-7760 ext. 110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1621 Tennessee Ave
Suite 300
Lynn Haven, FL 32444-3604
Phone (850) 872-0774
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Lynn Haven, FL
- NPI 1740665371
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1720078041
-
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
- Home Health Agency
- Panama City, FL
- NPI 1518916659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1073930947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5819 FRANK HOUGH RD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324043062",
"telephone_number": "850-896-1285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 TENNESSEE AVE STE 300",
"city": "LYNN HAVEN",
"state": "FL",
"postal_code": "324443653",
"telephone_number": "850-872-0774"
}
],
"practiceLocations": [
{
"address_1": "210 E 11th St",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324012939",
"country_code": "US",
"telephone_number": "850-872-7760 x110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODHAM",
"first_name": "NATASHA",
"middle_name": "CELEST",
"name_prefix": "Dr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-27",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9244792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynn Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.