Individual provider Active NPI

Ruth Elaine Wood, FNP-C

  • Family Nurse Practitioner
  • Sparta, TN
National Provider Identifier
1255523841
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21950 Issued in TN
Practice address
441 Sewell Dr
Sparta, TN 38583-1223
Phone
(931) 837-9048
Fax
(931) 837-9571
NPI assigned
Aug 16, 2007
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21950 TN Primary
Registered Nurse 163W00000X 218719 TN

Addresses

Primary practice location

441 Sewell Dr
Sparta, TN 38583-1223

Mailing address

441 Sewell Dr
Sparta, TN 38583-1223
Phone (931) 837-9048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307000761 TN Practitioner - Nurse Practitioner 9739487901 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218719TNMDRegistered Nurse
21950TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro2Med of Tennessee CurrentSince Dec 1, 2018 Accepting new patients
Shea Chiropractic PC CurrentSince Dec 1, 2018 Accepting new patients
Abhay G Kemkar MD Past Accepting new patients

Locations

750 E Spring St
Ste D
Cookeville, TN 38501
Phone (931) 526-4084

Interoperability endpoints

  • Direct secure messaging: ruth.wood.1@17155.direct.athenahealth.com

Organizations & group practices 4

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1255523841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 SEWELL DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831223",
            "telephone_number": "931-837-9048",
            "fax_number": "931-837-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 SEWELL DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831223",
            "telephone_number": "931-837-9048",
            "fax_number": "931-837-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "RUTH",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21950",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "218719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.