Anita Marie Wood, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2010007724 Issued in MN

Practice address

715 E 78TH St
Bloomington, MN 55420-1397

Phone

(612) 873-8200

NPI assigned

May 17, 2011

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1578856043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20900 INGERSOLL AVE N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550253604",
            "telephone_number": "651-231-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E 78TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201397",
            "telephone_number": "612-873-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2010007724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asa Wold
• Jocelynne Maria Woldemar
• Audrey Renee Wolfgramm
• Women'S Wellness & Parenting Support Center
• Marianna Wong, PHARMD
• Natalie Elizabeth Wood, PA-C
• Jemeris L Woods
• Lonnice Jasmine Woods
• Olivia Rose Woodward
• Laura Elizabeth Wozniczka

• Family Nurse Practitioner in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.