Active NPI
Valerie Woodson
- Adult Day Care Clinic/Center
- Evansville, IN
National Provider Identifier
1144525411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 32001710A
- Practice address
- 401 SE 6TH St
Evansville, IN 47713-1217 - Phone
- (812) 425-5111
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 32001710A | IN | Primary |
Addresses
Primary practice location
401 SE 6TH St
Evansville, IN 47713-1217
Mailing address
5902 W County Road 150 S
Rockport, IN 47635-8402
Phone (812) 359-4819
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 |
|---|---|---|---|
| 32001710A | IN | MD | Adult Day Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1144525411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5902 W COUNTY ROAD 150 S",
"city": "ROCKPORT",
"state": "IN",
"postal_code": "476358402",
"telephone_number": "812-359-4819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SE 6TH ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131217",
"telephone_number": "812-425-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODSON",
"first_name": "VALERIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "IN",
"license": "32001710A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.