Amanda Corinne Woodworth, FNP-C, WHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

75953 Issued in KS

Practice address

3601 W 133Rd St
Leawood, KS 66209-3345

Phone

(913) 787-3728

Fax

(913) 730-5463

NPI assigned

Aug 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Corinne Bukaty Former name

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Health and Wellness LLCGroup PAC ID 8820354475, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: amanda.woodworth@102608020045828.direct.elationemr.com

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.

• Optimal Health and Wellness, LLC

  • Primary Care Clinic/Center
  • Leawood, KS
  • NPI 1275042350
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1215284971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 W 110TH ST STE 700",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102332",
            "telephone_number": "913-787-3728",
            "fax_number": "913-730-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 133RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093345",
            "telephone_number": "913-787-3728",
            "fax_number": "913-730-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "AMANDA",
        "middle_name": "CORINNE",
        "credential": "FNP-C, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-12",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KS",
            "license": "75953",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "75953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BUKATY",
            "middle_name": "CORINNE",
            "credential": "WHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marjorie Mae Wongskhaluang, M.D.
• Kelley Wood
• Lauren Elizabeth Wood, MSW, LCSW
• Michele Wood, PHARM.D.
• Lorraine Woods, PHARMD
• Bryan Andrew Woodworth, CRNA
• Worldwide Innovative DME & Medical Supply, LLC
• Ronald D Wright, DDS
• Edis Wu, D.D.S.
• Stephanie R. Wuertz, PT

• Family Nurse Practitioner in Leawood, KS
• Providers in Leawood, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.