Individual provider Active NPI

Amy Lauren Woodman, FNP, RN

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1225713654
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
288247 Issued in AZ
Practice address
2589 E 24TH St Ste 2
Yuma, AZ 85365-3226
Phone
(928) 275-3213
Fax
(928) 268-0148
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 288247 AZ
Family Medicine Physician 207Q00000X 288247 AZ
Family Nurse Practitioner 363LF0000X 288247 AZ Primary

Addresses

Primary practice location

2589 E 24TH St Ste 2
Yuma, AZ 85365-3226

Mailing address

2589 E 24TH St Ste 2
Yuma, AZ 85365-3226
Phone (928) 275-3213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20240816002633 AZ Practitioner - Nurse Practitioner 2961940291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Healthcare of YumaGroup PAC ID 1052859386, 2 clinicians

Practice addresses (Care Compare)

2589 E 24TH St
Suite 2
Yuma, AZ 85365-3226
Phone (928) 275-3213

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Yuma, AZ, CCN 037280
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288247AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare of Yuma Family Medicine CurrentSince May 28, 2024 Accepting new patients

Locations

2946 S Avenue B
Yuma, AZ 85364
Phone (928) 276-4998

2589 E 24th St
Ste 2
Yuma, AZ 85365
Phone (928) 275-3213

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1225713654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 E 24TH ST STE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653226",
            "telephone_number": "928-275-3213",
            "fax_number": "928-268-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 E 24TH ST STE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653226",
            "telephone_number": "928-275-3213",
            "fax_number": "928-268-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODMAN",
        "first_name": "AMY",
        "middle_name": "LAUREN",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "288247",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "288247",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "288247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.