Mendi Jo Woodruff

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

51 W 3900 S
Salt Lake Cty, UT 84107-1431

Phone

(801) 587-2370

Fax

(801) 266-1088

NPI assigned

Dec 2, 2019

Last updated

Dec 2, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1598302101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 W 3900 S",
            "city": "SALT LAKE CTY",
            "state": "UT",
            "postal_code": "841071431",
            "telephone_number": "801-587-2370",
            "fax_number": "801-266-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W 3900 S",
            "city": "SALT LAKE CTY",
            "state": "UT",
            "postal_code": "841071431",
            "telephone_number": "801-587-2370",
            "fax_number": "801-266-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "MENDI",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Allen Spence, PHARMACIST
• Stefan Edward Strickholm, MFCC
• Datus Brock Thorup, M.D.
• Lucinda Wald, RPH
• Taylor Wallace
• Paula J Woodward, MD
• Richard I Zipnick, MD

• Behavior Analyst in Salt Lake Cty, UT
• Providers in Salt Lake Cty, UT by specialty
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.