NE'Tosha Cenetrise Dopson-Woodall, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101511 Issued in FL

Practice address

949 Lane Ave S
Jacksonville, FL 32205-4706

Phone

(888) 831-2949

NPI assigned

May 18, 2006

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: ne.tosha.dopson-woodall.1@33133.direct.athenahealth.com
• Direct secure messaging: netosha.dopson-woodall@rh-fl.direct.office.nextgen.com

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.

• Agape Health & Wellness Center Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1386223469
  Medicare reassignment
• Accmed Healthcare Systems Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1215118062
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1356394522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9819 MARINE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322215616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054706",
            "telephone_number": "888-831-2949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5960 Beach Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322075113",
            "country_code": "US",
            "telephone_number": "904-701-0229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOPSON-WOODALL",
        "first_name": "NE'TOSHA",
        "middle_name": "CENETRISE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291134500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin L Donovan, MD
• Vaishali B Doolabh, MD
• Bently Patrick Doonan, M.D.
• Door to Door Quality Transportation Corp
• Daniel Clayton Doornbos, MD
• Randi Amber Dopson, LMA, CE, CME
• Alana Dor
• Vered Dor, PSY.D.
• Chandler D Dora, M.D.
• Grace B Dorado, OD

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.