Womens Health Specialists, PC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

WOMENS HEALTH SPECIALISTS, PC

Practice address

2340 Katy LN
Poplar Bluff, MO 63901-2300

Phone

(573) 290-3293

Fax

(887) 849-5233

NPI assigned

Mar 8, 2021

Organization subpart

No

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

Authorized official

Name

Carrie Lynn CardaNPI 1992777957

Title

Physician/Owner

Phone

(573) 290-3293

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Rural health clinic certification: CCN 793827

Legal name

WOMENS HEALTH SPECIALISTS PC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 26, 2012

Last certification

Apr 15, 2026

Ownership / control type

1B

Most recent change of ownership

May 1, 2021 (2 total)

Organization structure

CorporationProprietary

Enrollment address

2340 Katy LN
Poplar Bluff, MO 63901-2300

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Womens Health Specialists, PC

  • Obstetrics & Gynecology Physician
  • Poplar Bluff, MO
  • NPI 1184686925

  6406834951

  Same PAC ID

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Carrie Lynn Carda, MD

  • Obstetrics & Gynecology Physician
  • Poplar Bluff, MO
  • NPI 1992777957

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Heartland Women'S Healthcare Mo PC

  • Rural Health Clinic/Center
  • Poplar Bluff, MO
  • NPI 1356849616

  Acquired from, 2021-05-01

  CMS change of ownership

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Lynn Carda, MD

  • Obstetrics & Gynecology Physician
  • Poplar Bluff, MO
  • NPI 1992777957
  NPD Authorized official
• Amy Elizabeth Richardson, WHNP-BC

  • Women's Health Nurse Practitioner
  • Poplar Bluff, MO
  • NPI 1972112720
  NPD
• Amy E Shell, F.N.P- B.C.

  • Nurse Practitioner
  • Poplar Bluff, MO
  • NPI 1750496253
  NPD
• Stacey Diane Stark, FNP

  • Family Nurse Practitioner
  • Poplar Bluff, MO
  • NPI 1104704477
  NPD

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1467047738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639020550",
            "telephone_number": "573-785-4601",
            "fax_number": "573-776-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 KATY LN",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012300",
            "telephone_number": "573-290-3293",
            "fax_number": "887-849-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "CARDA",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "573-290-3293"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyesha Shonta Wofford
• Jolene M Wolf, FNP
• Mikayle Wolf
• Woman to Woman
• Womens Health Specialists, PC
• Bobbie Sue Wood
• David William Wood, DO
• John Owen Wood, PSY.D.
• Sara Beth Woodard, LPC
• Nathaniel Lynn Woodruff

• Rural Health Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.