Active NPI
Delores M. Wood, NP
- Critical Care Neonatal Nurse Practitioner
- West Monroe, LA
National Provider Identifier
1356575161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- RN043346
- Practice address
- 503 McMillan Rd
Attn: GRMC-Nicu
West Monroe, LA 71291-5327 - Phone
- (318) 329-4200
- Fax
- (318) 329-4710
- NPI assigned
- May 7, 2009
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | RN043346 | LA | Primary |
Addresses
Primary practice location
503 McMillan Rd
Attn: GRMC-Nicu
West Monroe, LA 71291-5327
Mailing address
PO Box 35805
Attn: GRMC-Nicu
West Monroe, LA 71294-5805
Phone (318) 329-4232
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN043346 | LA | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1356575161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35805",
"address_2": "ATTN: GRMC-NICU",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712945805",
"telephone_number": "318-329-4232",
"fax_number": "318-329-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MCMILLAN RD",
"address_2": "ATTN: GRMC-NICU",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915327",
"telephone_number": "318-329-4200",
"fax_number": "318-329-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "DELORES",
"middle_name": "M.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "LA",
"license": "RN043346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.