Active NPI
Deborah Woods, A.P.R.N.
- Family Nurse Practitioner
- Jackson, TN
National Provider Identifier
1629047782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5201
- Practice address
- 145 Innovation Dr
Jackson, TN 38305-3019 - Phone
- (731) 422-0213
- Fax
- (731) 422-0297
- NPI assigned
- Mar 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN5201 | TN | |
| Family Nurse Practitioner | 363LF0000X | 5201 | TN | Primary |
Addresses
Primary practice location
145 Innovation Dr
Jackson, TN 38305-3019
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3904147 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 74.15
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 78.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN5201 | TN | MD | Nurse Practitioner |
| 5201 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1629047782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "JACKSON",
"state": "TN",
"postal_code": "383020400",
"telephone_number": "731-425-5752",
"fax_number": "731-425-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 INNOVATION DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053019",
"telephone_number": "731-422-0213",
"fax_number": "731-422-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "DEBORAH",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN5201",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "5201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3904147",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.