Keri Ann Woodworth, MSED
Individual provider Active NPI Specialist · Stamford, NY
NPI 1316208259 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1316208259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 18 Harper St
Apt 2
Stamford, NY 12167-1040 - Phone
- (607) 652-0035
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
18 Harper St
Apt 2
Stamford, NY 12167-1040
Mailing address
PO Box 96
18 Harper Street, Apt. 2
Stamford, NY 12167-0096
Phone (607) 652-0035
Other providers in Stamford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. 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.