Active NPI
Anna Lee Woody, APRN
- Primary Care Nurse Practitioner
- Cocoa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN11016783
- Practice address
- 5390 Fruitport St
Cocoa, FL 32927-2432 - Phone
- (321) 480-3219
- NPI assigned
- Nov 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN11016783 | FL | Primary |
Addresses
Primary practice location
5390 Fruitport St
Cocoa, FL 32927-2432
Mailing address
5390 Fruitport St
Cocoa, FL 32927-2432
Phone (321) 480-3219
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Services of Florida LLC
Practice addresses (Care Compare)
140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501
205 E Nasa Blvd
Suite 200
Melbourne, FL 32901-1954
Phone (770) 312-5226
2225 S Babcock St
Suite 110
Melbourne, FL 32901-5305
Phone (321) 425-4321
4270 Minton Rd
Suite 120
West Melbourne, FL 32904-9579
Phone (321) 984-2933
Hospital & facility affiliations
- Palm Bay Hospital
- Holmes Regional Medical Center
- Viera Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11016783 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Florida, LLC | Current | Accepting new patients | |
| North Point Physicians LLC | Current | Accepting new patients |
Locations
140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501
205 E Nasa Blvd
Ste 200
Melbourne, FL 32901
Phone (321) 723-9175
1395 N Courtenay Pkwy
Ste 107
Merritt Island, FL 32953
Phone (321) 453-1955
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777
Interoperability endpoints
- anna.woody.1@8042.direct.athenahealth.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Indialantic, FL
- NPI 1700649043
-
- Family Medicine Physician
- Merritt Island, FL
- NPI 1740479096
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638144000000",
"number": "1093472862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5390 FRUITPORT ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329272432",
"telephone_number": "321-480-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5390 FRUITPORT ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329272432",
"telephone_number": "321-480-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "ANNA",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11016783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.