Lisa C Wood, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN5972 Issued in TN

Practice address

1335 Rock Springs Rd
Suite 100
Smyrna, TN 37167-6108

Phone

(615) 459-5252

Fax

(615) 459-5232

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lisa.wood.1@31800.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.

• Centennial Pediatrics PC

  • Pediatrics Physician
  • Nashville, TN
  • NPI 1477588523
  NPD (past)
• Grace Pediatrics PLLC

  • Pediatrics Physician
  • Smyrna, TN
  • NPI 1467781690
  NPD (past)
• Grace Pediatrics PLLC

  • Pediatrics Physician
  • Pleasant View, TN
  • NPI 1992553689
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1104023035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 ROCK SPRINGS RD",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676108",
            "telephone_number": "615-459-5252",
            "fax_number": "615-459-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 ROCK SPRINGS RD",
            "address_2": "SUITE 100",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676108",
            "telephone_number": "615-459-5252",
            "fax_number": "615-459-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN5972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441736",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Wolf, PH.D. - HSP
• Rachael B. Wolfe
• Womens Imaging Solutions PLC
• Wonderfully Made Catering LLC
• Cynthia Leigh Wood, OTRL OTD
• Tessa Wood
• Gilbert Earl Woodall Jr., M.D.
• Megan Kathleen Woodward, M.D.
• Woolfork Enterprises, Inc
• Olivia Noel Work

• All providers in Smyrna, TN
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.