Mary Rebecca Woodward, RN BSN PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

95157956 Issued in CA

Practice address

21507 E Cliff Dr
Santa Cruz, CA 95062-4844

Phone

(831) 427-3500

NPI assigned

Apr 30, 2021

Last updated

Apr 30, 2021By the provider in NPPES

Sex

Female

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

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1235712829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 ENCINO DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034860",
            "telephone_number": "831-239-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21507 E CLIFF DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624844",
            "telephone_number": "831-427-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "MARY",
        "middle_name": "REBECCA",
        "credential": "RN BSN PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "95157956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Juliana Woods, LMFT
• Paige Woods, LVN
• Stephanie Stephanie Woods
• Tim J Woods, LCSW
• Rachael Woodthorp
• Angela Wootton
• John Work
• Natasha Worrell-Merritt, L.AC.
• Melanie Worthy, L.AC.
• Deborah Wright, RN, PHN

• Community Health Registered Nurse in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Community Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.