Alysha Woods, MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95012235 Issued in CA

Practice address

507 W Foothill Blvd # D
Monrovia, CA 91016-2021

Phone

(818) 809-0991

Fax

(818) 533-9540

NPI assigned

Jul 18, 2019

Reactivated

Sep 7, 2022

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rooted Psychiatry and Wellness

  • Psychiatric/Mental Health Registered Nurse
  • Monrovia, CA
  • NPI 1750016390
  NPD Authorized official

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1497308415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W ALTADENA DR # 1001",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014735",
            "telephone_number": "818-809-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W FOOTHILL BLVD # D",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162021",
            "telephone_number": "818-809-0991",
            "fax_number": "818-533-9540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18321 Ventura Blvd Ste 955",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913564255",
            "country_code": "US",
            "telephone_number": "818-809-0991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13001 Ramona Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Irwindale",
            "state": "CA",
            "postal_code": "917063752",
            "country_code": "US",
            "telephone_number": "818-809-0991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ALYSHA",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "deactivation_date": "2022-08-15",
        "reactivation_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "95012235",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alysha@rootedpsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "507 W Foothill Blvd # D",
            "city": "Monrovia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910162021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kymtana Woodly
• Donna Woodruff
• Jonathan M Woodruff
• Klara Woodruff
• Patricia Woodruff
• Destinie Marie Woods
• Joslin Woods
• Keishaye Woods
• Kenya Woods
• Lynisha Woods

• Psychiatric/Mental Health Nurse Practitioner in Monrovia, CA
• Providers in Monrovia, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.