Active NPI
Olga G Woods, FNP
- Nurse Practitioner
- Newport, TN
National Provider Identifier
1346212446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN5422
- Practice address
- 207 Murray Dr
Newport, TN 37821-3631 - Phone
- (423) 623-1057
- Fax
- (423) 625-8620
- NPI assigned
- Feb 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN45134 | TN | |
| Nurse Practitioner | 363L00000X | APN5422 | TN | Primary |
Addresses
Primary practice location
207 Murray Dr
Newport, TN 37821-3631
Mailing address
207 Murray Dr
Newport, TN 37821-3631
Phone (423) 623-1057
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4039236 | Other | TN | BCBST |
| 1000028162 | Other | TN | PHP TENNCARE |
| 4039232 | Other | TN | BCBST |
| 3346338 | Medicaid | TN | |
| 4039237 | Other | TN | BCBST |
| 4039239 | Other | TN | BCBST/BLUECARE TENNCARE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN45134 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1346212446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MURRAY DR",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378213631",
"telephone_number": "423-623-1057",
"fax_number": "423-625-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MURRAY DR",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378213631",
"telephone_number": "423-623-1057",
"fax_number": "423-625-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "OLGA",
"middle_name": "G",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN45134",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN5422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4039236",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENNCARE",
"identifier": "1000028162",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4039232",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3346338",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST",
"identifier": "4039237",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBST/BLUECARE TENNCARE",
"identifier": "4039239",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.