Individual provider Active NPI

Sheniqua Woodson, CNA

  • Nurse's Aide
  • Minot, ND
National Provider Identifier
1255947263
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
83759 Issued in ND
Practice address
3524 Kodiak St NW
Apt 211
Minot, ND 58703-8634
Phone
(309) 336-3772
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X 83759 ND Primary

Addresses

Primary practice location

3524 Kodiak St NW
Apt 211
Minot, ND 58703-8634

Mailing address

308 Wigwam # 4C
Heyworth, IL 61745-8932
Phone (309) 336-3772

Other practice location 1

3524 Kodiak St NW Apt 211
Minot, ND 58703-8634
Phone (309) 336-3772

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1255947263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WIGWAM # 4C",
            "city": "HEYWORTH",
            "state": "IL",
            "postal_code": "617458932",
            "telephone_number": "309-336-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 KODIAK ST NW",
            "address_2": "APT 211",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587038634",
            "telephone_number": "309-336-3772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3524 Kodiak St NW Apt 211",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587038634",
            "country_code": "US",
            "telephone_number": "309-336-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "SHENIQUA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "ND",
            "license": "83759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.