Individual provider Active NPI

Nicole Woodard Uliassi

  • Pediatrics Physician
  • Rockville, MD
National Provider Identifier
1144596891
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D80287 Issued in MD
Practice address
1201 Seven Locks Rd Ste 201
Rockville, MD 20854-2963
Phone
(301) 881-7995
Fax
(301) 881-8451
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D80287 MD Primary

Addresses

Primary practice location

1201 Seven Locks Rd Ste 201
Rockville, MD 20854-2963

Mailing address

1201 Seven Locks Rd Ste 201
Rockville, MD 20854-2963
Phone (301) 881-7995

Other names 1

  • Nicole Woodard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210924002717 DC Practitioner - Pediatric Medicine 4880091321 Reassigns benefits to 1 organization
I20210924002831 MD Practitioner - Pediatric Medicine 4880091321 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc Pediatrics Current Accepting new patients
Johns Hopkins Community Physicians CurrentSince Sep 1, 2021 Accepting new patients
Johns Hopkins Community Physicians, Inc Pediatrics CurrentSince Sep 1, 2021 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Sep 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704

1201 Seven Locks Rd
Ste 201
Rockville, MD 20854
Phone (301) 881-7995

Interoperability endpoints

  • Direct secure messaging: nuliassi871315@direct.hopkinsmedicine.org

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": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1144596891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD STE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542963",
            "telephone_number": "301-881-7995",
            "fax_number": "301-881-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD STE 201",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542963",
            "telephone_number": "301-881-7995",
            "fax_number": "301-881-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULIASSI",
        "first_name": "NICOLE",
        "middle_name": "WOODARD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D80287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WOODARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.