Individual provider Active NPI

Jacqueline Matherne Woods, PNP-PC

  • Pediatric Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1447026554
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
227276 Issued in LA
Practice address
1514 Doctors Dr
Bossier City, LA 71111-3322
Phone
(318) 549-2500
Fax
(318) 741-8175
NPI assigned
Nov 29, 2023
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 227276 LA Primary

Addresses

Primary practice location

1514 Doctors Dr
Bossier City, LA 71111-3322

Mailing address

1514 Doctors Dr
Bossier City, LA 71111-3322
Phone (318) 549-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20260216001022 LA Practitioner - Nurse Practitioner 7113407529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Synergy Way
Holly Hill, FL 32117-2502

3041 Dr Martin Luther King Dr
Shreveport, LA 71107-4705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
227276LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Raines Community Health Center, Inc CurrentSince Dec 13, 2025 Accepting new patients
Wellness Pass by Luraguiz MD CurrentSince Dec 3, 2023 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Dec 13, 2025 Accepting new patients
David Raines Community Health Center, Inc Past Accepting new patients
David Raines Community Health Center, Inc PastSince Jun 30, 2024 Accepting new patients
David Raines Community Health Center, Inc. Past Accepting new patients
David Raines Community Health Center, Inc Past Accepting new patients
David Raines Community Health Center, Inc. PastSince Aug 15, 2021 Accepting new patients

Locations

1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500

2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242

777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242

12763 Lay St
Gilliam, LA 71029
Phone 31822733503170

1953 Main St
Haynesville, LA 71038
Phone (318) 227-3350

12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742

128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545

1534 Elizabeth Ave
Ste 401
Shreveport, LA 71101
Phone (318) 431-8613

1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252

3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350

3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350

3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170

351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742

401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350

4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300

441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019

5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750

7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 687-4812

7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671

9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350

Interoperability endpoints

  • Direct secure messaging: jacqueline.woods.p1@direct.davidraineschc.nextgenshare.com

Organizations & group practices 8

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": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1447026554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 DOCTORS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113322",
            "telephone_number": "318-549-2500",
            "fax_number": "318-741-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 DOCTORS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113322",
            "telephone_number": "318-549-2500",
            "fax_number": "318-741-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JACQUELINE",
        "middle_name": "MATHERNE",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "227276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.