Jamie Woodley, PBT(ASCP)

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

License

67531 Issued in OH

Practice address

1736 Superior Ave E
Cleveland, OH 44114-2944

Phone

(440) 406-7736

NPI assigned

Jun 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1457929234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 CEDAR AVE APT 169",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441154107",
            "telephone_number": "440-406-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 SUPERIOR AVE E",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142944",
            "telephone_number": "440-406-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "PBT(ASCP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "OH",
            "license": "67531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5164.06",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "J.Woodley2pbtascp@outlook.com",
            "affiliation": "N",
            "address_1": "2514 Cedar Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441152927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kellee Woodford, LPC
• Dahnia Woodi
• Woodland Academy, Inc.
• Sharonda Delilah Woodland, NURSE
• Bonnie M Woodley
• Nicole Catherine Woodley, MSN, APRN-CNP
• Woodmere Village
• Nicole Woodrich
• Caroline Quillian Woodruff, ED.S.
• Deborah Christine Woodruff, RPH

• Clinical Laboratory Director (Non-physician) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Clinical Laboratory Director (Non-physician) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.