Eddie Wormwood

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

3840 N Commerce St
200
North Las Vegas, NV 89032-8104

Phone

(702) 633-7570

Fax

(702) 974-1348

NPI assigned

Mar 5, 2012

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Unity Family Services Inc

  • Foster Care Agency
  • North Las Vegas, NV
  • NPI 1962667527
  NPD (past)

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1225302573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 N COMMERCE ST",
            "address_2": "200",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328104",
            "telephone_number": "702-633-7570",
            "fax_number": "702-974-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 N COMMERCE ST",
            "address_2": "200",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328104",
            "telephone_number": "702-633-7570",
            "fax_number": "702-974-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMWOOD",
        "first_name": "EDDIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Woods
• Rochelle Marie Woods
• Stephanie Woods
• Tina Works
• Daniel James Worland, PHARM. D.
• Lavell Worthy Jr.
• Lilli Ann Wosk, MS, CCC-SLP
• Maria Louise Wozniak, QMHA
• WP&H,LLC
• Kayli Wrenn

• Rehabilitation Counselor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.