Individual provider Active NPI

Erin Elizabeth Woodiel, FNP-C

  • Family Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1245677087
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
678930 Issued in TX
Practice address
270 Abner Jackson Pkwy
Lake Jackson, TX 77566-5124
Phone
(979) 316-5100
Fax
(979) 316-5098
NPI assigned
Jun 3, 2013
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 678930 TX Primary

Addresses

Primary practice location

270 Abner Jackson Pkwy
Lake Jackson, TX 77566-5124

Mailing address

270 Abner Jackson Pkwy
Lake Jackson, TX 77566-5124
Phone (979) 316-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130807000139 TX Practitioner - Nurse Practitioner 4880836667 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orsak Medical Association CurrentSince Jun 1, 2013 Accepting new patients
Utmb Faculty Group Practice CurrentSince Dec 19, 2014 Accepting new patients
Medical Care Innovation, P.C. PastSince Aug 2, 2020 Accepting new patients

Locations

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

3223 Broadway St
Pearland, TX 77581
Phone (281) 485-9034

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1245677087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 ABNER JACKSON PKWY",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665124",
            "telephone_number": "979-316-5100",
            "fax_number": "979-316-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 ABNER JACKSON PKWY",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665124",
            "telephone_number": "979-316-5100",
            "fax_number": "979-316-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODIEL",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "678930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.