Mary Ann Woodruff
Individual provider Active NPI Personal Care Attendant · Wathena, KS
NPI 1265659072 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1265659072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 405 Fremont
Wathena, KS 66090 - Phone
- (785) 989-4941
- Fax
- (913) 365-5606
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
405 Fremont
Wathena, KS 66090
Mailing address
PO Box 111
Wathena, KS 66090-0111
Phone (785) 989-4941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3747P1801X | Medicaid | KS | |
| 3747A065OX | Medicaid | KS |
Other providers in Wathena, KS
- Jennifer Schultz
- Jennifer Sharp
- Richaille Smith
- Wathena Healthcare and Rehabilitation Center, LLC
- Willow
All providers in Wathena, KS · Personal Care Attendant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.