Active NPI
Jennifer Woodard
- Community Health Registered Nurse
- Cleveland, OH
National Provider Identifier
1093510273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 396670
- Practice address
- 13211 Chapelside Ave
Cleveland, OH 44120-4605 - Phone
- (216) 820-5183
- NPI assigned
- Feb 13, 2025
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 396670 | OH | |
| Case Management Registered Nurse | 163WC0400X | 396670 | OH | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 396670 | OH | |
| General Practice Registered Nurse | 163WG0000X | 396670 | OH | |
| Home Health Registered Nurse | 163WH0200X | 396670 | OH | |
| Pediatric Registered Nurse | 163WP0200X | 396670 | OH | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 396670 | OH | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 396670 | OH | |
| Community Health Registered Nurse | 163WC1500X | 396670 | OH | Primary |
| Registered Nurse | 163W00000X | 396670 | OH | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 396670 | OH |
Addresses
Primary practice location
13211 Chapelside Ave
Cleveland, OH 44120-4605
Mailing address
1653 E 75TH St
Cleveland, OH 44103-4111
Phone (216) 820-5183
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 396670 | OH | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harpal Serenity Wellness | Current | Accepting new patients |
Locations
13211 Chapelside Ave
Cleveland, OH 44120
Phone (216) 231-5556
17325 Euclid Ave
Ste 2110
Cleveland, OH 44112
Phone (216) 780-1911
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.
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1851105183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1093510273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 E 75TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034111",
"telephone_number": "216-820-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13211 CHAPELSIDE AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441204605",
"telephone_number": "216-820-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OH",
"license": "396670",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "396670",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "396670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.