Mia Woodroof, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08610 Issued in LA

Practice address

1936 Magazine St
New Orleans, LA 70130-5016

Phone

(504) 529-5558

NPI assigned

Jan 20, 2016

Last updated

Oct 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Thomas Community Health Center, Inc.

  dba St. Thomas Community Health Center Erwin Bldg

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1003185125
  Medicare reassignment NPD
• St. Thomas Community Health Center, Inc

  dba St. Thomas Community Health Center

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1699115600
  NPD (past)
• St. Thomas Community Health Center, Inc.

  dba St Thomas at Holiday Drive

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1659082105
  NPD (past)
• St. Thomas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1730828419
  NPD (past)

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1154788354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305016",
            "telephone_number": "504-529-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305016",
            "telephone_number": "504-529-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODROOF",
        "first_name": "MIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AP LICENSE NUMBER",
            "identifier": "AP08610",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodland Village 5301 Tenant, LLC (Woodland Village Nursing & Rehabilitation Center)
• Berthard Gerard Woodrich, LCSW
• Naikia Lewis Woodrich, P.T.
• Gilda Woodridge
• Norman Woodridge
• April Woodruff
• Dakeria Trianna Woods
• Edgar Woods, MHS
• Frazier Woods Jr., MS
• Jaymie Woods

• Family Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.