Taylor Marie Wodzenski, QMHP-E

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

424 Plymouth Ave
Charlotte, NC 28206-3139

Phone

(540) 420-0921

NPI assigned

Mar 24, 2020

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

Practice roles

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.

• Jacob S Bailey LLC

  • Non-emergency Medical Transport (VAN)
  • Charlotte, NC
  • NPI 1801425541
  NPD

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1265069801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 PLYMOUTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063139",
            "telephone_number": "540-420-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 PLYMOUTH AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063139",
            "telephone_number": "540-420-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODZENSKI",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "QMHP-E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celin Reid Wittman, NP
• Tyler David Wiza
• WL Healthsystems, Inc
• Megan Laura Wlodarczyk
• Cathryn McCollom Wlodyka, PA-C
• Marie Anderson Wofford, MD, MPH
• Shila Wofford
• Brian Obinna Wogu, MD
• Katarzyna Wojnas, PSYD
• Firehiwot Woldu, MD

• Non-emergency Medical Transport (VAN) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.