Jonathan Lee Woolard, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13933 Issued in NC

Practice address

3035 Boone Trail Ext Ste a
Fayetteville, NC 28304-3860

Phone

(910) 920-1165

NPI assigned

Dec 6, 2016

Last updated

Dec 6, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nxtlvl Wellness LLC

  • Health & Wellness Coach
  • Fayetteville, NC
  • NPI 1467328948
  NPD Authorized official

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1194269423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 HIDDEN LAKE LOOP",
            "address_2": "18",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042878",
            "telephone_number": "910-527-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 BOONE TRAIL EXT STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043860",
            "telephone_number": "910-920-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLARD",
        "first_name": "JONATHAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "13933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Marie Woods, DPT
• Laquinas Woods, LMSW
• Rosalind Woods, PTA
• Lindsey Elizabeth Woody, MD
• Taylor Woody
• Working on US Behavioral Health & Family Services
• Alyssa Worley, COTA/L
• Macy Lynn Worley, PHARMD
• Traci Emily Worrell, PHARMD
• Quaniqua Worsley

• Massage Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.