Individual provider Active NPI

Janet Woodard

  • Acute Care Nurse Practitioner
  • Geneva, IL
National Provider Identifier
1508460635
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2020092760 Issued in IL
Practice address
706 S Batavia Ave
Geneva, IL 60134-3007
Phone
(630) 818-0908
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2020092760 IL Primary

Addresses

Primary practice location

706 S Batavia Ave
Geneva, IL 60134-3007

Mailing address

500 Kirts Blvd Ste 100
Troy, MI 48084-4135
Phone (248) 434-6169

Other practice location 1

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864
Phone (630) 756-5270

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address thebridgeclinic@outlook.com Other
Direct Messaging Address thebridgeclinic@outlook.com Other
Direct Messaging Address thebridgeclinic@outlook.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216002205 IL Practitioner - Nurse Practitioner 4587079033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fox Valley Medical Associates, LTD.Group PAC ID 4183525454, 14 clinicians

Practice addresses (Care Compare)

1180 W Wilson St E
Batavia, IL 60510-7693
Phone (630) 879-5700

Hospital & facility affiliations

  • Northwestern Medicine Delnor Community Hospital Hospital, Geneva, IL, CCN 140211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020092760ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Medical Associates, LTD. CurrentSince Feb 5, 2024 Accepting new patients
Vpa PC CurrentSince May 1, 2022 Accepting new patients
Iah of Michigan, PLLC CurrentSince Jul 22, 2022 Accepting new patients
Vpa PC CurrentSince May 1, 2022 Accepting new patients

Locations

2020 Ogden Ave
Ste 140
Aurora, IL 60504
Phone (630) 851-1144

1180 W Wilson St
Ste E
Batavia, IL 60510
Phone (630) 879-5700

1000 Burr Ridge Pkwy
Ste 201
Burr Ridge, IL 60527
Phone (312) 818-4650

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAJCDD
  • Direct secure messaging: janet.woodard@fvma.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1508460635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844135",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S BATAVIA AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343007",
            "telephone_number": "630-818-0908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Burr Ridge Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605270864",
            "country_code": "US",
            "telephone_number": "630-756-5270",
            "fax_number": "574-538-4859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JANET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "2020092760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thebridgeclinic@outlook.com",
            "affiliation": "N",
            "endpointDescription": "medical office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "clinic",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic",
            "address_1": "706 S Batavia Ave",
            "city": "Geneva",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601343007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thebridgeclinic@outlook.com",
            "affiliation": "N",
            "endpointDescription": "medical office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "clinic",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic",
            "address_1": "706 S Batavia Ave",
            "city": "Geneva",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601343007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thebridgeclinic@outlook.com",
            "affiliation": "N",
            "endpointDescription": "medical office",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "clinic",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clinic",
            "address_1": "706 S Batavia Ave",
            "city": "Geneva",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601343007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.