Active NPI
Niesha Wood, MS
- Case Manager/Care Coordinator
- West Palm Beach, FL
National Provider Identifier
1235488149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330 - Phone
- (561) 712-8821
- NPI assigned
- Sep 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
1639 Forum PL Ste 7
West Palm Beach, FL 33401-2330
Mailing address
4042 Lake Tahoe Cir
West Palm Beach, FL 33409-7879
Phone (561) 352-3431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076871500 | Medicaid | FL |
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We'Re No Different, LLC | Current | Accepting new patients | |
| Cfsatc Inc | Past | Accepting new patients | |
| Cfsatc Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Home Health Agency
- West Palm Beach, FL
- NPI 1235880063
-
- Community/Behavioral Health Agency
- Lake Worth, FL
- NPI 1508050147
-
- Community/Behavioral Health Agency
- Titusville, FL
- NPI 1780329359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1235488149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4042 LAKE TAHOE CIR",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334097879",
"telephone_number": "561-352-3431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 FORUM PL STE 7",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012330",
"telephone_number": "561-712-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "NIESHA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076871500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.