Individual provider Active NPI

Kristi Lee Woods, DNP(C), FNP-C

  • Family Nurse Practitioner
  • Highland, IL
National Provider Identifier
1144485996
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041339447 Issued in IL
Practice address
1006 Walnut St
Highland, IL 62249-1542
Phone
(618) 651-3000
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209007327 IL
Nurse Practitioner 363L00000X 2013010825 MO
Family Nurse Practitioner 363LF0000X 041339447 IL Primary

Addresses

Primary practice location

1006 Walnut St
Highland, IL 62249-1542

Mailing address

1006 Walnut St
Highland, IL 62249-1542

Other names 1

  • Ms. Kristi Lee Former name

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2013010825MOMDNurse Practitioner
041339447ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jerseyville Pain Management Center, S.C. Past Accepting new patients
Dr James L Rehberger PC Past Accepting new patients
Associated Cardiology Consultants of New Mexico Past Accepting new patients
Mo Cardinals Emergency Physicians, LLC Past Accepting new patients
Chiropractic Specialist, Inc. Nurse Practitioner PastSince Oct 19, 2011 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1144485996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 WALNUT ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 WALNUT ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491542",
            "telephone_number": "618-651-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KRISTI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP(C), FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007327",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2013010825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041339447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "LEE",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.