Anisa Green Woodall, CN, LMP

Primary specialty

NutritionistTaxonomy code 133N00000X

License

NU60584285 Issued in WA

Practice address

13116 NE 70TH PL
Kirkland, WA 98033-8571

Phone

(425) 576-5433

NPI assigned

Apr 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anisa Rita Green Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kirkland Life Chiropractic, P.S.

  • Rehabilitation Chiropractor
  • Kirkland, WA
  • NPI 1184827800
  NPD (past)

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1497199582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13116 NE 70TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338571",
            "telephone_number": "425-576-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13116 NE 70TH PL",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338571",
            "telephone_number": "425-576-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "ANISA",
        "middle_name": "GREEN",
        "name_prefix": "Mrs.",
        "credential": "CN, LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60313607",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "NU60584285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANISA",
            "last_name": "GREEN",
            "middle_name": "RITA",
            "credential": "CN, LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah C Wood, LMP
• Erin Wood, MA, LMHC
• Lisa R Wood, PHARM. D
• Penny Sue Wood, D.C.
• Teri L Wood, M.A., LMHC
• Joseph Lynch Woodard
• Jordan Woodhouse
• Woodinville Wellness Center
• Alyssa Woods
• Mandi Elizabeth Woods, MA CCC-SLP

• Nutritionist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Nutritionist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.