Active NPI
Debra Sue Woods, LPN
- In Home Supportive Care Agency
- Clermont, FL
National Provider Identifier
1396152997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 233197
- Practice address
- 8726 Augusta CT
Clermont, FL 34711-8582 - Phone
- (352) 989-3616
- NPI assigned
- Jul 15, 2014
- Last updated
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 233197 | FL | Primary |
Addresses
Primary practice location
8726 Augusta CT
Clermont, FL 34711-8582
Mailing address
8726 Augusta CT
Clermont, FL 34711-8582
Phone (352) 989-3616
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233197 | FL | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1396152997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8726 AUGUSTA CT",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118582",
"telephone_number": "352-989-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8726 AUGUSTA CT",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118582",
"telephone_number": "352-989-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DEBRA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "233197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.