Individual provider Active NPI

Jessica L Woods, AU.D.

  • Audiologist
  • Nashua, NH
National Provider Identifier
1497796577
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A494 Issued in NH
Practice address
547 Amherst St Ste 208
Nashua, NH 03063-4000
Phone
(603) 889-7434
Fax
(603) 889-9531
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A494 NH Primary

Addresses

Primary practice location

547 Amherst St Ste 208
Nashua, NH 03063-4000

Mailing address

547 Amherst St Ste 204
Nashua, NH 03063-4000
Phone (603) 889-7434

Other practice location 1

50 Nashua Rd Ste 200A
Londonderry, NH 03053-3429
Phone (603) 889-7434

Other identifiers 1

IdentifierTypeStateIssuer
30433850MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000769 NH Practitioner - Qualified Audiologist 4284663857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern New Hampshire Health and Balance Center LLCGroup PAC ID 5698164739, 2 clinicians

Practice addresses (Care Compare)

547 Amherst St
Suite 208
Nashua, NH 03063-4000
Phone (603) 889-7434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A494NHMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New Hampshire Health & Balance Center, LLC. Audiologist CurrentSince Sep 1, 2021 Accepting new patients
My Allergy Experts LLC CurrentSince Apr 24, 2026 Accepting new patients
Dr, Woods Hearing Center LLC Audiologist Past Accepting new patients
Incare Tufts PLLC Past Accepting new patients
Incare LLC PastSince Feb 1, 2022 Accepting new patients
Ear Nose Throat Physicians & Surgeons PA Past Accepting new patients

Locations

15 Tsienneto Rd
Ste 101
Derry, NH 03038

15 Tsienneto Rd
Derry, NH 03038
Phone (603) 460-4955

50 Nashua Rd
Ste 200A
Londonderry, NH 03053
Phone (603) 889-7434

547 Amherst St
Ste 208
Nashua, NH 03063
Phone 6038897434 ext. 4

547 Amherst St
Ste 204
Nashua, NH 03063
Phone (603) 305-6621

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1497796577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 AMHERST ST STE 204",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634000",
            "telephone_number": "603-889-7434",
            "fax_number": "603-889-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 AMHERST ST STE 208",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634000",
            "telephone_number": "603-889-7434",
            "fax_number": "603-889-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Nashua Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533429",
            "country_code": "US",
            "telephone_number": "603-889-7434",
            "fax_number": "603-889-9531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-05-12",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NH",
            "license": "A494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30433850",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.