Active NPI
Lisa S Woodward, N.P.
- Obstetrics & Gynecology Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1619997897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 413942
- Practice address
- 2825 J St
Sacramento, CA 95816-4300 - Phone
- (916) 978-0300
- Fax
- (916) 978-0333
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 413942 | CA | Primary |
Addresses
Primary practice location
2825 J St
Sacramento, CA 95816-4300
Mailing address
2825 J St
Sacramento, CA 95816-4300
Phone (916) 978-0300
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1619997897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164300",
"telephone_number": "916-978-0300",
"fax_number": "916-978-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958164300",
"telephone_number": "916-978-0300",
"fax_number": "916-978-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "LISA",
"middle_name": "S",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "413942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.