NPIMap

Individual provider Active NPI

Lilah Rachel Woodard, FNP-BC

  • Family Nurse Practitioner
  • Rutland, VT
National Provider Identifier
1447534839
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010094407 Issued in VT
Practice address
215 Stratton Rd
Rutland, VT 05701-4621
Phone
(802) 773-3386
Fax
(802) 773-4578
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 1010094407 VT Primary

Addresses

Primary practice location

215 Stratton Rd
Rutland, VT 05701-4621

Mailing address

71 Allen St
Ste 101
Rutland, VT 05701-4570
Phone (802) 772-4414

Other identifiers 2

IdentifierTypeStateIssuer
101651MedicaidVT
01667849MedicaidNY

Other names 1

  • Lilah Rachel Gamble Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130712000203 VT Practitioner - Nurse Practitioner 4385810100 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of the Rutland Region IncGroup PAC ID 2961467386, shared by 9 NPIs, 103 clinicians

Practice addresses (Care Compare)

1 General Wing Rd
Rutland, VT 05701-4681
Phone (802) 773-9131

215 Stratton Rd
Rutland, VT 05701-4621
Phone (802) 773-3386

275 Route 30 N
Bomoseen, VT 05732-9647
Phone (802) 468-5641

278 VT Route 149
West Pawlet, VT 05775-9798
Phone (802) 645-0580

2987 VT Route 22a
Shoreham, VT 05770-9728
Phone (802) 897-7000

420 Grove St
Brandon, VT 05733-9062
Phone (802) 247-6305

Hospital & facility affiliations

  • Vna & Hospice of the Southwest Region, Inc. Home health agency, Rutland, VT, CCN 477007
  • Bayada Home Health Care, Inc. Home health agency, Rutland, VT, CCN 477019
  • Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Southwestern Vermont Medical Center Hospital, Bennington, VT, CCN 470012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004817CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Rutland Region Inc Current Accepting new patients
Community Health Centers of the Rutland Region, Inc CurrentSince May 15, 2013 Accepting new patients
Community Health Centers of the Rutland Region, Inc. CurrentSince Nov 20, 2014 Accepting new patients

Locations

215 Stratton Rd
Rutland, VT 05701
Phone (802) 773-3386

1 General Wing Rd
Rutland, VT 05701
Phone (802) 773-9131

71 Allen St
Ste 402
Rutland, VT 05701
Phone (800) 468-9118

71 Allen St
Ste 101
Rutland, VT 05701
Phone (800) 468-9118

2987 Vt Route 22A
Shoreham, VT 05770
Phone (802) 897-7000

Interoperability endpoints

  • Direct secure messaging: lwoodard@chcrr.medentdirect.com

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1447534839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 ALLEN ST",
            "address_2": "STE 101",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014570",
            "telephone_number": "802-772-4414",
            "fax_number": "802-772-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STRATTON RD",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014621",
            "telephone_number": "802-773-3386",
            "fax_number": "802-773-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "LILAH",
        "middle_name": "RACHEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "1010094407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101651",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILAH",
            "last_name": "GAMBLE",
            "middle_name": "RACHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.