Individual provider Active NPI

Alyx Pappajohn Woodward, NP

  • Family Nurse Practitioner
  • Big Spring, TX
National Provider Identifier
1154936730
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019226 Issued in TX
Practice address
1501 W 11TH PL Ste 205
Big Spring, TX 79720-4121
Phone
(432) 268-4660
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 883558 TX
Family Nurse Practitioner 363LF0000X 1019226 TX Primary

Addresses

Primary practice location

1501 W 11TH PL Ste 205
Big Spring, TX 79720-4121

Mailing address

1501 W 11TH PL Ste 205
Big Spring, TX 79720-4121
Phone (432) 268-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20201124001667 TX Practitioner - Nurse Practitioner 3072924018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
883558TXMDRegistered Nurse
1019226TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Big Bend Medical Group CurrentSince Oct 16, 2024 Accepting new patients
Big Bend Medical Group CurrentSince Oct 16, 2024 Accepting new patients
Permian Premier Health Services Inc Past Accepting new patients

Locations

1501 W 11th Pl
Ste 205
Big Spring, TX 79720
Phone (432) 268-4660

1501 W 11th Pl
Ste 304
Big Spring, TX 79720
Phone (432) 268-5388

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

1501 W 11th Pl
Ste 110
Big Spring, TX 79720
Phone (432) 268-4522

1501 W 11th Pl
Ste 101
Big Spring, TX 79720
Phone (432) 268-5340

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048

Interoperability endpoints

  • Direct secure messaging: alyx.woodward.1@1603.direct.athenahealth.com

Organizations & group practices 4

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1154936730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL STE 205",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204121",
            "telephone_number": "432-268-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 11TH PL STE 205",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797204121",
            "telephone_number": "432-268-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "ALYX",
        "middle_name": "PAPPAJOHN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "883558",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

Verify at the official NPI Registry.