Di'Ara Woods, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3 Club Centre CT Ste B1
Edwardsville, IL 62025-3519

Phone

(618) 699-4402

NPI assigned

Mar 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dwoods746035@directb.mercy.net
• Direct secure messaging: dwoods18@yourcarecommunity.org

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.

• Fulfilling Life PLLC

  • Specialist
  • Edwardsville, IL
  • NPI 1922796408
  NPD Authorized official
• Uptown Emergency Physicians LLP

  • Emergency Medicine Physician
  • Bethalto, IL
  • NPI 1184016313

  Physician Assistant

  NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1497115497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GLEN CARBON RD",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342965",
            "telephone_number": "314-749-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CLUB CENTRE CT STE B1",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253519",
            "telephone_number": "618-699-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "DI'ARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "PENDING",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Witt
• Brent Douglas Wohlford, D.M.D.
• Diane Gail Wolfe, SLP
• Courtney Nicole Woll, COTA/L
• Emily G Woodell, RBT
• Robert Wright, MSN, RN, CMSRN
• Easton Wyatt
• David Brian Yablonsky, D.O.
• Emily A Yakel, APN
• Hollie A Yoder, FNP-BC

• Physician Assistant in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.