Nicole Jessica Woollard, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95007122 Issued in CA

Practice address

890 Eastlake Pkwy Ste 301
Chula Vista, CA 91914-4522

Phone

(619) 421-2949

NPI assigned

Aug 14, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Jessica O'Neil Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JECHAA/Endpoint/JECHAA

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1174048979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 EASTLAKE PKWY STE 301",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 EASTLAKE PKWY STE 301",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144522",
            "telephone_number": "619-421-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLARD",
        "first_name": "NICOLE",
        "middle_name": "JESSICA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "O'NEIL",
            "middle_name": "JESSICA",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donnett Ann Marie Woodard, MA
• Cordelia Woodhouse
• Corinne M Woods, R.PH.
• Gina Natalie Woods, MD
• Andrew Woolery
• Charles Engleton Woolsey III, ATC
• Marleia Woolstenhulme
• Pamela Diane Wright, LCSW
• Florence Wu
• Steven Cheng En Wu, FNP-C

• Nurse Practitioner in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.