Individual provider Active NPI

Jessica Woodard, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1265887780
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000021114 Issued in TN
Practice address
1900 Patterson St Ste 205
Nashville, TN 37203-2165
Phone
(615) 939-2181
NPI assigned
May 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000021114 TN Primary

Addresses

Primary practice location

1900 Patterson St Ste 205
Nashville, TN 37203-2165

Mailing address

1900 Patterson St Ste 205
Nashville, TN 37203-2165
Phone (615) 939-2181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220617000465 TN Practitioner - Nurse Practitioner 7618356874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davishire Dermatology LLCGroup PAC ID 2860870979, 7 clinicians

Practice addresses (Care Compare)

1900 Patterson St
Suite 205
Nashville, TN 37203-2165
Phone (615) 329-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000021114TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Davishire Dermatology LLC CurrentSince Feb 17, 2022 Accepting new patients

Locations

1900 Patterson St
Ste 205
Nashville, TN 37203
Phone (615) 329-0341

1900 Patterson St
Nashville, TN 37203
Phone (615) 329-0011

Organizations & group practices 1

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1265887780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PATTERSON ST STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032165",
            "telephone_number": "615-939-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 PATTERSON ST STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032165",
            "telephone_number": "615-939-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.