Kathryn A Wood, RN, PHD, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NPF8274 Issued in CA

Practice address

1771 Northcrest Dr
Crescent City, CA 95531-8922

Phone

(707) 465-8666

Fax

(707) 465-8650

NPI assigned

Sep 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CABIAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crescent City Internal Medicine

  • Internal Medicine Physician
  • Crescent City, CA
  • NPI 1669468930
  NPD (past)
• Brookings Harbor Medical Center P C

  • Family Medicine Physician
  • Brookings, OR
  • NPI 1912944067
  NPD (past)
• Klamath Walk in Care Center Inc.

  • Urgent Care Clinic/Center
  • Klamath Falls, OR
  • NPI 1346218252
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1366439002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 NORTHCREST DR",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318922",
            "telephone_number": "707-465-8666",
            "fax_number": "707-465-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 NORTHCREST DR",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318922",
            "telephone_number": "707-465-8666",
            "fax_number": "707-465-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN, PHD, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NPF8274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mellissa Kaye Williams
• Rainee Renae Wilson
• Brianna Wishing
• Dusti Wojcik
• Kathleen R. Wollam, M.A., SLP
• Krystal Rhae Woods
• Naome Michael Lynn Workman, CADCII, ICADC
• Acaja Wright
• Hiedi Wright, RN, FNP
• Ger Xiong

• Primary Care Nurse Practitioner in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.