Active NPI
Yvonne Lee Woody, RN
- Home Health Registered Nurse
- Clute, TX
National Provider Identifier
1326527185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 878609
- Practice address
- 101 Verde Dr Apt 11204
Clute, TX 77531-3139 - Phone
- (979) 665-3966
- NPI assigned
- Aug 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 878609 | TX | Primary |
Addresses
Primary practice location
101 Verde Dr Apt 11204
Clute, TX 77531-3139
Mailing address
55 Cotton CT
Lake Jackson, TX 77566-5114
Phone (979) 267-0003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 708384824 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 878609 | TX | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534032000000",
"number": "1326527185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 COTTON CT",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665114",
"telephone_number": "979-267-0003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 VERDE DR APT 11204",
"city": "CLUTE",
"state": "TX",
"postal_code": "775313139",
"telephone_number": "979-665-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "YVONNE",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-12",
"last_updated": "2018-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "878609",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "708384824",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clute, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.