Mary Wood, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN00065168 Issued in WA

Practice address

17171 Bothell Way NE
Lake Forest Park, WA 98155-4204

Phone

(206) 363-6364

NPI assigned

May 10, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1548844186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792750",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782792750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 BOTHELL WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981554204",
            "telephone_number": "206-363-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "RN00065168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurelie Trier, LMHC
• Ingrid Elise Van Swearingen, M.D.
• Elyssa Velasco
• Ken R Welling, CSACFA
• Annie Dang-Ye Wong, OTR/L
• Robert C Woodbury, DO
• Morgan Lane Woodward, LMHCA
• X-Cel Enterprises, Inc.
• Mollie Elizabeth Yates, OTR/L

• Community Health Registered Nurse in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Community Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.