Individual provider Active NPI

Tiara Nicole Woodard, FNP, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1396452389
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN273255 Issued in GA
Practice address
100 S Wacker Dr Ste 1600
Chicago, IL 60606-4082
Phone
(855) 661-9975
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN273255 GA
Family Nurse Practitioner 363LF0000X RN273255 GA Primary

Addresses

Primary practice location

100 S Wacker Dr Ste 1600
Chicago, IL 60606-4082

Mailing address

100 S Wacker Dr Ste 1600
Chicago, IL 60606-4082
Phone (855) 661-9975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20230830000365 GA Practitioner - Nurse Practitioner 0648633222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince Sep 18, 2023 Accepting new patients

Locations

1355 S Park St
Carrollton, GA 30117
Phone (678) 664-3293

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

1751 Newnan Crossing Blvd E
Newnan, GA 30265
Phone (678) 423-5845

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1396452389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S WACKER DR STE 1600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064082",
            "telephone_number": "855-661-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S WACKER DR STE 1600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606064082",
            "telephone_number": "855-661-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "TIARA",
        "middle_name": "NICOLE",
        "credential": "FNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "GA",
            "license": "RN273255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN273255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.