Individual provider Active NPI

Brianna Wood, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1174985493
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016005870 Issued in MO
Practice address
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone
(314) 577-5666
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016005870 MO Primary
Family Nurse Practitioner 363LF0000X 277005648 IL

Addresses

Primary practice location

1465 S Grand Blvd
Saint Louis, MO 63104-1003

Mailing address

4969 Benchmark Centre Dr Ste 100
Swansea, IL 62226-8928
Phone (618) 235-2311

Other practice location 1

11365 Dorsett Rd
Maryland Heights, MO 63043-3411
Phone (314) 872-6400

Other practice location 2

4969 Benchmark Centre Dr Ste 100
Swansea, IL 62226-8928
Phone (618) 235-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20161215002231 MO Practitioner - Nurse Practitioner 1658651351 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209014066ILMDFamily Nurse Practitioner
2016005870MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Nov 9, 2016 Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Nov 9, 2016 Accepting new patients
SSM Health Care St. Louis CurrentSince Dec 29, 2019 Accepting new patients
SSM Health Care St Louis CurrentSince Dec 29, 2019 Accepting new patients
Ranken-Jordan Home for Convalescent Crippled Children Past Accepting new patients
Washington University Physicians in Illinois, Inc Past Accepting new patients
Pediatric Healthcare Unlimited Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

3878 Pershall Rd
Saint Louis, MO 63135
Phone (314) 344-6021

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2511/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brianna.wood.1@2511.direct.athenahealth.com

Organizations & group practices 7

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": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1174985493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 BENCHMARK CENTRE DR STE 100",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268928",
            "telephone_number": "618-235-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041003",
            "telephone_number": "314-577-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11365 Dorsett Rd",
            "address_purpose": "LOCATION",
            "city": "Maryland Heights",
            "state": "MO",
            "postal_code": "630433411",
            "country_code": "US",
            "telephone_number": "314-872-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4969 Benchmark Centre Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268928",
            "country_code": "US",
            "telephone_number": "618-235-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRIANNA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016005870",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277005648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.