Individual provider Active NPI

Winifred Naana Woode, RN

  • General Practice Registered Nurse
  • Blaine, MN
National Provider Identifier
1285814806
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
R 139214-4 Issued in MN
Practice address
1896 124TH LN NE
Blaine, MN 55449-7919
Phone
(763) 862-9140
NPI assigned
Nov 12, 2007
Last updated
Nov 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X R 139214-4 MN Primary

Addresses

Primary practice location

1896 124TH LN NE
Blaine, MN 55449-7919

Mailing address

1896 124TH LN NE
Blaine, MN 55449-7919
Phone (763) 862-9140

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 139214-4MNMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Windels Health Services Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1285814806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 124TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497919",
            "telephone_number": "763-862-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896 124TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497919",
            "telephone_number": "763-862-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODE",
        "first_name": "WINIFRED",
        "middle_name": "NAANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "R 139214-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.