Shatora Yvette Woods

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309950 Issued in NY

Practice address

87 Wellington Ave
Rochester, NY 14611-3017

Phone

(585) 309-7258

NPI assigned

May 11, 2012

Last updated

May 11, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1477812444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 WELLINGTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113017",
            "telephone_number": "585-309-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 WELLINGTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113017",
            "telephone_number": "585-309-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SHATORA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "309950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne K Woods, LCSW
• Cheryl Woods, LCSW, CASAC
• James R Woods, MD
• Melissa Woods, LMSW
• Paul Woods, D.O.
• Woodside Manor Nursing Home, Inc.
• Michelle Louise Woodside, M.S., CCC-SLP
• Laura Woodson, PA
• Jacob Woodward, PA-C
• Chad M Woodworth

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; 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.