Individual provider Active NPI

Jennifer Ruth Woodard, CRNP

  • Family Nurse Practitioner
  • Jacksonville, AL
National Provider Identifier
1568078418
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05200546 Issued in AL
Practice address
29 Trinity Way
Jacksonville, AL 36265-5813
Phone
(256) 591-3869
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05200546 AL Primary

Addresses

Primary practice location

29 Trinity Way
Jacksonville, AL 36265-5813

Mailing address

29 Trinity Way
Jacksonville, AL 36265-5813
Phone (256) 591-3869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20210329002223 AL Practitioner - Nurse Practitioner 3678980133 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheaha Area Regional Emergency SpecialistsGroup PAC ID 6103843354, 7 clinicians

Practice addresses (Care Compare)

256 Oxford Exchange Blvd
Oxford, AL 36203-3453
Phone (256) 835-0076

Hospital & facility affiliations

  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F05200546ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Care Authority of the City of Anniston Current Accepting new patients
Anniston Pathology Current Accepting new patients
Doctors Med Care of Jacksonville, P.C. CurrentSince Jun 1, 2021 Accepting new patients
Cheaha Area Regional Emergency Specialists CurrentSince Feb 21, 2022 Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Mar 22, 2021 Accepting new patients
Jennifer Woodard CRNP CurrentSince Nov 5, 2023 Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Mar 22, 2021 Accepting new patients
Cheaha Area Regional Emergency Services of Oxford PastSince Feb 21, 2022 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

1325 Quintard Ave
Anniston, AL 36201
Phone (256) 741-1339

2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160

1505 Pelham Rd S
Ste 2
Jacksonville, AL 36265
Phone (256) 435-7300

256 Oxford Exchange Blvd
Oxford, AL 36203
Phone (256) 835-0076

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jennifer.woodard.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 8

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 2

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1568078418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 TRINITY WAY",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655813",
            "telephone_number": "256-591-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 TRINITY WAY",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655813",
            "telephone_number": "256-591-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "JENNIFER",
        "middle_name": "RUTH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F05200546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

Verify at the official NPI Registry.