Individual provider Active NPI

Kizzy Woods, NP

  • Family Nurse Practitioner
  • Kentwood, LA
National Provider Identifier
1083176374
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09697 Issued in LA
Practice address
721 Avenue G
Kentwood, LA 70444-2601
Phone
(225) 306-2003
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 24

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.

View all 24

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Community Health Systems 22 clinicians

Practice addresses (Care Compare)

721 Ave G
Kentwood, LA 70444-2601
Phone (225) 306-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210208001432 LA Practitioner - Nurse Practitioner 9133533920 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems Current Accepting new patients
Southeast Community Health Systems CurrentSince Oct 22, 2020 Accepting new patients
Southeast Community Health Systems CurrentSince Oct 22, 2020 Accepting new patients
Southeast Community Health Systems CurrentSince Oct 22, 2020 Accepting new patients
Southeast Community Health Systems PastSince Sep 12, 2021 Accepting new patients

Locations

8913 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 763-4990

490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045

336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060

721 Avenue G
Kentwood, LA 70444
Phone (985) 229-5501

6351 Main St
Zachary, LA 70791
Phone (225) 306-2055

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09697 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

721 Avenue G
Kentwood, LA 70444-2601

Mailing address

84 Amite Rd NE
Brookhaven, MS 39601-2202
Phone (601) 327-9624

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2019.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1083176374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 AMITE RD NE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012202",
            "telephone_number": "601-327-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AVENUE G",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704442601",
            "telephone_number": "225-306-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KIZZY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, LA

Sources for this page

Verify at the official NPI Registry.