Beverly Anne Wood, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

317475 Issued in OH

Practice address

265 W Union St Ste a
Athens, OH 45701-2313

Phone

(740) 594-2456

Fax

(740) 594-9630

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Beverly Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• University Medical Associates Inc.

  dba Uma

  • Multi-Specialty Clinic/Center
  • Athens, OH
  • NPI 1023047974
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1104926369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141",
            "telephone_number": "614-544-6155",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W UNION ST STE A",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012313",
            "telephone_number": "740-594-2456",
            "fax_number": "740-594-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BEVERLY",
        "middle_name": "ANNE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "317475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "PHILLIPS",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie A Wolfe, LPN
• Tristen Wolfe, DO
• Mackenzie Wolford, LSW
• Destanie Wombold, LSW
• Ellyn F Wong
• Brittany Wood, LSW
• Emma Wood
• Jennifer Wood
• Katie Wood
• Mickey Wood

• Family Nurse Practitioner in Athens, OH
• Providers in Athens, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.