Keith Anderson Woods, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5014532 Issued in NC

Practice address

1705 Gardner Dr
Wilmington, NC 28405-8873

Phone

(910) 343-5300

Fax

(910) 254-1352

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1437729894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 IRIS WAY",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433885",
            "telephone_number": "336-830-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 GARDNER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058873",
            "telephone_number": "910-343-5300",
            "fax_number": "910-254-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KEITH",
        "middle_name": "ANDERSON",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5014532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING/MEDICAL BOARD",
            "identifier": "5014532",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Denaci Woodfox
• Allister Keith Woodman, RPH
• Dawn Marie Woods, FNP-ADULT HEALTH
• Jonathan Bradley Woods, M.D.
• Justin Wiliam Woods, PA
• Stanley M Woods, DMD
• Casey Woodson, AGACNP-BC
• Barry Woodward, LCSW
• Nathan Woodward, PA-C
• Alfred Herman Woodworth, MD

• Primary Care Nurse Practitioner in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.