Individual provider Active NPI

Monica Lee Wooldridge, FNP

  • Family Nurse Practitioner
  • Brentwood, CA
National Provider Identifier
1578898383
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20161 Issued in CA
Practice address
171 Sand Creek Rd
Suite a
Brentwood, CA 94513-2033
Phone
(925) 513-6807
Fax
(925) 513-6874
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20161 CA Primary
Registered Nurse 163W00000X 718957 CA

Addresses

Primary practice location

171 Sand Creek Rd
Suite a
Brentwood, CA 94513-2033

Mailing address

1542 Talisman Way
Concord, CA 94521-3156
Phone (925) 676-3785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121211000117 CA Practitioner - Nurse Practitioner 1658523022 Reassigns benefits to 1 organization
I20220930000283 AZ Practitioner - Nurse Practitioner 1658523022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2273 E Wilcox Dr
Sierra Vista, AZ 85635-2755
Phone (520) 226-0560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
718957CAMDRegistered Nurse
20161CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System Current Accepting new patients
Community Partners Integrated Healthcare, Inc. CurrentSince May 1, 2023 Accepting new patients
Community Partners Integrated Healthcare Inc. CurrentSince May 1, 2023 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Alameda Health System CurrentSince May 1, 2013 Accepting new patients
Alameda Health System CurrentSince May 1, 2013 Accepting new patients
Pinal Hispanic Council Incorporated CurrentSince May 1, 2023 Accepting new patients
Pinal Hispanic Council Current Accepting new patients
Pinal Hispanic Council CurrentSince May 1, 2023 Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Adobe Care and Wellness LLC PastSince Sep 1, 2022 Accepting new patients
Mobile Medical & Nursing, Inc. Past Accepting new patients

Locations

500 S Highway 80
Ste 1
Benson, AZ 85602
Phone (520) 720-0290

500 S Highway 80
Ste A
Benson, AZ 85602
Phone (520) 720-0290

1667 N Trekell Rd
Ste 101
Casa Grande, AZ 85122
Phone (520) 284-5436

330 N Picacho St
Casa Grande, AZ 85122
Phone (520) 876-5833

556 S Arizona Blvd
Coolidge, AZ 85128
Phone (520) 723-7405

107 E 4th St
Eloy, AZ 85131
Phone (480) 247-7619

1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000

301 E 4th St
Ste A
Safford, AZ 85546
Phone (928) 792-4242

2273 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 226-0560

1021 E Palmdale St
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320

5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701

5055 E Broadway Blvd
Ste B100
Tucson, AZ 85711
Phone (520) 901-4676

1021 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 407-5353

2545 S Arizona Ave
Yuma, AZ 85364
Phone (928) 550-0756

2545 S Arizona Ave
Bldg A
Yuma, AZ 85364

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Interoperability endpoints

  • Direct secure messaging: monica.wooldridge.p1@direct.cpi.nextgenshare.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461456000000",
    "number": "1578898383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TALISMAN WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213156",
            "telephone_number": "925-676-3785",
            "fax_number": "925-685-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SAND CREEK RD",
            "address_2": "SUITE A",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132033",
            "telephone_number": "925-513-6807",
            "fax_number": "925-513-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "MONICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2016-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20161",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "718957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.