Active NPI
Henry Lee Woods III
- Registered Nurse
- Spokane Valley, WA
National Provider Identifier
1104616341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 287199
- Practice address
- 1717 N Manifold LN
Spokane Valley, WA 99016-5489 - Phone
- (509) 315-7191
- NPI assigned
- May 10, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 287199 | NC | Primary |
Addresses
Primary practice location
1717 N Manifold LN
Spokane Valley, WA 99016-5489
Mailing address
12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone (509) 603-5885
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 |
|---|---|---|---|
| 287199 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746835200000",
"number": "1104616341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12606 E MISSION AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992163421",
"telephone_number": "509-603-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 N MANIFOLD LN",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990165489",
"telephone_number": "509-315-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "HENRY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-10",
"last_updated": "2025-05-10",
"certification_date": "2025-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "287199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.