Active NPI
Shauna Woody
- Athletic Trainer
- Fort Worth, TX
National Provider Identifier
1417403262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 116557
- Practice address
- 1101 Yucca Ave
Fort Worth, TX 76111 - Phone
- (817) 714-9000
- NPI assigned
- Aug 31, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 116557 | TX | Primary |
Addresses
Primary practice location
1101 Yucca Ave
Fort Worth, TX 76111
Mailing address
7050 Terra Chase CV
115
Fort Worth, TX 76137-6595
Phone (682) 404-8957
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 |
|---|---|---|---|
| 116557 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1417403262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 TERRA CHASE CV",
"address_2": "115",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761376595",
"telephone_number": "682-404-8957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 YUCCA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76111",
"telephone_number": "817-714-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "SHAUNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "116557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.