Active NPI
Lucinda Woodworth, RN
- Technician
- Olney, IL
National Provider Identifier
1083801005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 208 E Main St
Olney, IL 62450-2114 - Phone
- (618) 392-3090
- Fax
- (618) 392-2754
- NPI assigned
- Oct 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | IL | Primary |
Addresses
Primary practice location
208 E Main St
Olney, IL 62450-2114
Mailing address
PO Box M
504 Micah Drive
Olney, IL 62450-0913
Phone (618) 395-4306
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-249400 | IL | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1083801005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX M",
"address_2": "504 MICAH DRIVE",
"city": "OLNEY",
"state": "IL",
"postal_code": "624500913",
"telephone_number": "618-395-4306",
"fax_number": "618-395-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 E MAIN ST",
"city": "OLNEY",
"state": "IL",
"postal_code": "624502114",
"telephone_number": "618-392-3090",
"fax_number": "618-392-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWORTH",
"first_name": "LUCINDA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.