Individual provider Active NPI

Jennifer Wood, AB

  • Sonography Radiologic Technologist
  • Greenacres, FL
National Provider Identifier
1619628286
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
171552 Issued in FL
Practice address
6655 Lake Worth Rd
Greenacres, FL 33467-1507
Phone
(561) 707-8212
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 171552 FL Primary

Addresses

Primary practice location

6655 Lake Worth Rd
Greenacres, FL 33467-1507

Mailing address

17852 Orange Blvd
Loxahatchee, FL 33470-3251
Phone (561) 332-7647

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
171552FLMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonic Vibes Sonography CurrentSince Jan 26, 2022 Accepting new patients

Locations

6655 Lake Worth Rd
Lake Worth, FL 33467
Phone (561) 469-8617

Organizations & group practices 1

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1619628286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17852 ORANGE BLVD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334703251",
            "telephone_number": "561-332-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334671507",
            "telephone_number": "561-707-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "credential": "AB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "171552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.