Active NPI
Johanna Lee Woods, RN
- General Practice Registered Nurse
- Tacoma, WA
National Provider Identifier
1174026611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 60471683
- Practice address
- Madigan Army Medical Center 9040 Jackson Ave.
Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100 - Phone
- (253) 968-3869
- NPI assigned
- Mar 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 60471683 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040 Jackson Ave.
Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Mailing address
Madigan Army Medical Center 9040 Jackson Ave.
Attn: MCHJ-CLQ-C
Tacoma, NM 98431-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN60471683 | Other | WA | RN LICENSE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60471683 | WA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1174026611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE.",
"address_2": "ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "NM",
"postal_code": "984311100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE.",
"address_2": "ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "JOHANNA",
"middle_name": "LEE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "60471683",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN60471683",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.