Individual provider Active NPI

Denise R Woods, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1407924350
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11743 Issued in TN
Practice address
1264 Wesley Drive Suite 103
Memphis, TN 38175
Phone
(901) 516-3872
Fax
(901) 346-2892
NPI assigned
Nov 30, 2006
Last updated
Jul 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11743 TN Primary

Addresses

Primary practice location

1264 Wesley Drive Suite 103
Memphis, TN 38175

Mailing address

PO Box 751907
Memphis, TN 38175-1907
Phone (901) 516-3872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20051207000939 TN Practitioner - Nurse Practitioner 1052332905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1264 Wesley Dr
Suite 103
Memphis, TN 38116-6433
Phone (901) 516-3872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11743TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All About You Family Practice Family CurrentSince Feb 11, 2014 Accepting new patients

Locations

1264 Wesley Dr
Ste 103
Memphis, TN 38116
Phone (901) 396-4570

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1407924350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751907",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381751907",
            "telephone_number": "901-516-3872",
            "fax_number": "901-346-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 WESLEY DRIVE SUITE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38175",
            "telephone_number": "901-516-3872",
            "fax_number": "901-346-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "DENISE",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.