Active NPI
Toni Lynn Wood, RD,RN,CDE
- Registered Dietitian
- Albuquerque, NM
National Provider Identifier
1134492762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD154 R504396
- Practice address
- 933 Bradbury Dr SE
Suite 1112
Albuquerque, NM 87106-4374 - Phone
- (505) 272-5523
- Fax
- (505) 272-6591
- NPI assigned
- Feb 13, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD154 R504396 | NM | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | R65842 | NM |
Addresses
Primary practice location
933 Bradbury Dr SE
Suite 1112
Albuquerque, NM 87106-4374
Mailing address
933 Bradbury Dr SE
Suite 1112
Albuquerque, NM 87106-4374
Phone (505) 272-5523
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD154 R504396 | NM | MD | Registered Dietitian |
| R65842 | NM | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329091200000",
"number": "1134492762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 BRADBURY DR SE",
"address_2": "SUITE 1112",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064374",
"telephone_number": "505-272-5523",
"fax_number": "505-272-6591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 BRADBURY DR SE",
"address_2": "SUITE 1112",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064374",
"telephone_number": "505-272-5523",
"fax_number": "505-272-6591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "TONI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "RD,RN,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD154 R504396",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NM",
"license": "R65842",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.