Individual provider Active NPI

Sandra Woodbury, RMT

  • Specialist
  • Denver, CO
National Provider Identifier
1265730758
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
906 Issued in CO
Practice address
3955 E Exposition Ave
#320
Denver, CO 80209-5000
Phone
(303) 777-1151
Fax
(303) 777-3112
NPI assigned
Mar 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 906 CO Primary

Addresses

Primary practice location

3955 E Exposition Ave
#320
Denver, CO 80209-5000

Mailing address

3955 E Exposition Ave
#320
Denver, CO 80209-5000
Phone (303) 777-1151

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
906COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1265730758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "#320",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095000",
            "telephone_number": "303-777-1151",
            "fax_number": "303-777-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE",
            "address_2": "#320",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095000",
            "telephone_number": "303-777-1151",
            "fax_number": "303-777-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBURY",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "RMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.