Keri Lynn Woodruff, BA, SST

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6803085909 Issued in MI

Practice address

35555 Garfield Rd
Suite 3B
Clinton Township, MI 48035-5517

Phone

(586) 792-1654

Fax

(586) 792-1656

NPI assigned

Mar 18, 2008

Sex

Female

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

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1205007242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35555 GARFIELD ROAD",
            "address_2": "SUITE 3B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "586-792-1654",
            "fax_number": "586-792-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35555 GARFIELD RD",
            "address_2": "SUITE 3B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480355517",
            "telephone_number": "586-792-1654",
            "fax_number": "586-792-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "KERI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "BA, SST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6803085909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Serene Wong, D.O.
• Karen Marie Wood
• Melissa Wood
• Ronald Jay Woodall Jr., RN NPP
• Zachary Woodby, LMSW CAADC
• Kenneth S. Woods, RPH.
• Danielle Marie Woodside
• Woodward Detroit CVS LLC
• Woodward Detroit CVS, L.L.C.
• Woodward Detroit CVS, L.L.C.

• Case Manager/Care Coordinator in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.