Tarraz Woodruff, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

214766 Issued in SC

Practice address

200 University RDG
Greenville, SC 29601-3635

Phone

(864) 282-4100

NPI assigned

Oct 31, 2020

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1528668100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 RUNNING CREEK LN",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166807",
            "telephone_number": "864-590-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY RDG",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013635",
            "telephone_number": "864-282-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "TARRAZ",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "SC",
            "license": "214766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodlands Treatment Center, LLC
• Woodruff Smiles Dentistry, PC
• Amber Woodruff, RBT
• Courtney Marianne Woodruff, LPC
• Jaime Woodruff, LPCA
• Aleta Marcel Woods, MS, MED, BCBA, PSYD
• Erica Woods, RN; STUDENT NP
• Molly McGowan Woods, AG-ACNP
• Susan Coolidge Woods
• Woodward Medical Center, PA

• Emergency Registered Nurse in Greenville, SC
• Providers in Greenville, SC by specialty
• Emergency Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.