Active NPI
M. Patricia Woodard, M.S., C.N.P.
- Registered Nurse
- South Fallsburg, NY
National Provider Identifier
1487799052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 462272-1
- Practice address
- 5197 Main St
South Fallsburg, NY 12779-1010 - Phone
- (845) 436-8707
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 462272-1 | NY | Primary |
| Nurse Practitioner | 363L00000X | F301027-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F301027-1 | NY | |
| Primary Care Nurse Practitioner | 363LP2300X | F301027-1 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | F301027-1 | NY |
Addresses
Primary practice location
5197 Main St
South Fallsburg, NY 12779-1010
Mailing address
PO Box 1010
South Fallsburg, NY 12779-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01790349 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 462272-1 | NY | MD | Registered Nurse |
| F301027-1 | NY | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487799052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1010",
"city": "SOUTH FALLSBURG",
"state": "NY",
"postal_code": "127791010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5197 MAIN ST",
"city": "SOUTH FALLSBURG",
"state": "NY",
"postal_code": "127791010",
"telephone_number": "845-436-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "M.",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "M.S., C.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "462272-1",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F301027-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F301027-1",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "F301027-1",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F301027-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01790349",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Fallsburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.