Individual provider Active NPI

Windi Kay Woods, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1265103790
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
289027-4405 Issued in UT
Practice address
1875 South Redwood Road
Salt Lake City, UT 84104-1727
Phone
(801) 355-2846
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 289027-4405 UT Primary

Addresses

Primary practice location

1875 South Redwood Road
Salt Lake City, UT 84104-1727

Mailing address

11017 S Via Encantada Way
South Jordan, UT 84095-5623
Phone (801) 455-2442

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL X Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20211116003303 UT Practitioner - Nurse Practitioner 2769871532 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey House Inc CurrentSince Nov 1, 2021 Accepting new patients
Odyssey House Inc Psychiatric/Mental Health CurrentSince Nov 1, 2021 Accepting new patients

Locations

344 E 100 S
Ste 301
Slc, UT 84111
Phone (801) 428-3402

117 W 400 S
Slc, UT 84101
Phone (385) 200-0110

340 E 100 S
Slc, UT 84111
Phone (801) 322-3397

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1265103790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 S VIA ENCANTADA WAY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955623",
            "telephone_number": "801-455-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 SOUTH REDWOOD ROAD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841041727",
            "telephone_number": "801-355-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "WINDI",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "289027-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "X",
            "affiliation": "N",
            "endpointDescription": "X",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11017 S Via Encantada Way",
            "city": "South Jordan",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840955623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.