Active NPI
Jessica Woodruff, RBT
- Assistant Behavior Analyst
- Nashville, TN
National Provider Identifier
1558153536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- BACB1159395
- Practice address
- 400 Royal Pkwy
Nashville, TN 37214-3636 - Phone
- (201) 316-5945
- NPI assigned
- May 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-24-371341 | TN | |
| Assistant Behavior Analyst | 106E00000X | BACB1159395 | TN | Primary |
Addresses
Primary practice location
400 Royal Pkwy
Nashville, TN 37214-3636
Mailing address
509 Shawa TRL
Antioch, TN 37013-1837
Phone (760) 814-0974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-371341 | TN | MD | Behavioral Analyst |
| BACB1159395 | TN | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1558153536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 SHAWA TRL",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370131837",
"telephone_number": "760-814-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ROYAL PKWY",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143636",
"telephone_number": "201-316-5945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "JESSICA",
"name_prefix": "Ms.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TN",
"license": "RBT-24-371341",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "TN",
"license": "BACB1159395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.