Individual provider Active NPI

Linda Marie Woodin, CRNP

  • Primary Care Nurse Practitioner
  • Harrisburg, PA
National Provider Identifier
1225016785
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP004212B Issued in PA
Practice address
4760 Union Deposit Road
Suite 100
Harrisburg, PA 17111-3729
Phone
(717) 545-9811
Fax
(717) 545-9979
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP004212B PA Primary

Addresses

Primary practice location

4760 Union Deposit Road
Suite 100
Harrisburg, PA 17111-3729

Mailing address

4760 Union Deposit Road
Suite 100
Harrisburg, PA 17111-3729
Phone (717) 545-9811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1225016785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 UNION DEPOSIT ROAD",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113729",
            "telephone_number": "717-545-9811",
            "fax_number": "717-545-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 UNION DEPOSIT ROAD",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171113729",
            "telephone_number": "717-545-9811",
            "fax_number": "717-545-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODIN",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP004212B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.