Kellie Wood

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

221535-3102 Issued in UT

Practice address

312 W 8TH Ave
Spokane, WA 99204-2506

Phone

(509) 324-1420

Fax

(509) 327-0163

NPI assigned

Dec 20, 2023

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

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.

• Spokane Regional Health District

  • Public Health or Welfare Agency
  • Spokane, WA
  • NPI 1811954373
  NPD (past)

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1497524326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W COLLEGE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012010",
            "telephone_number": "509-324-1420",
            "fax_number": "509-327-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042506",
            "telephone_number": "509-324-1420",
            "fax_number": "509-327-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "KELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "221535-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Ashley Wood, CRNA
• Carol C Wood, OTR/L
• David Andrew Wood, DPM
• Elliotte Wood
• John Wood
• Kristopher Wood, SRNA
• Kyle Wood
• Megan Iona Wood, ARNP
• Nicole Anna Wood, LMP
• Olivia Athena Wood, LAAC

• Registered Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.