Kenetria Woodard, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP133757 Issued in TX

Practice address

8210 Walnut Hill LN Ste 312
Dallas, TX 75231

Phone

(214) 238-3074

Fax

(214) 238-3608

NPI assigned

May 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenetria.woodard.1@13131.direct.athenahealth.com

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.

• Vitas Health Services of Texas, P.a.

  dba Palliative Medical Associates of Texas

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1740566017
  Medicare reassignment NPD
• Trinity Home Visiting Doctors PLLC

  • Adult Medicine Physician
  • Farmers Branch, TX
  • NPI 1114426269
  NPD

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093241655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314419",
            "telephone_number": "214-238-3074",
            "fax_number": "214-238-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-238-3074",
            "fax_number": "214-238-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "KENETRIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351460601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP133757",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Erin Wood, L.P.C.
• Thomas Stacy Wood, M.D.
• William David Wood IV
• Alisha Woodall, MA, LPC
• Tyler Woodall, LPC-INTERN
• Natasha Marie Woodard, LCSW
• Robert Woodard, LVN
• Ann Robyn Woodbridge, M.D.
• Cannon James Woodbury
• Emily Caroline Woodby, MS, SLP-CF

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.