Active NPI
Lina Leigh Wood, CNM
- Advanced Practice Midwife
- North Charleston, SC
National Provider Identifier
1104842442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 436
- Practice address
- 9133 Timber St
North Charleston, SC 29406-9075 - Phone
- (843) 818-1123
- Fax
- (843) 818-1126
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 436 | SC | Primary |
Addresses
Primary practice location
9133 Timber St
North Charleston, SC 29406-9075
Mailing address
9133 Timber St
North Charleston, SC 29406-9075
Phone (843) 818-1123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MW0189 | Medicaid | SC | |
| 436 | Other | SC | SC LICENSE |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clemson University | Current | Accepting new patients |
Locations
1181 Hutto St
Orangeburg, SC 29118
Phone (803) 531-1312
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Walhalla, SC
- NPI 1093990707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1104842442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9133 TIMBER ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069075",
"telephone_number": "843-818-1123",
"fax_number": "843-818-1126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9133 TIMBER ST",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069075",
"telephone_number": "843-818-1123",
"fax_number": "843-818-1126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "LINA",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SC",
"license": "436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MW0189",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC LICENSE",
"identifier": "436",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.