Individual provider Active NPI

Renada R. Woodward, FNP-C

  • Family Nurse Practitioner
  • Mount Holly, NJ
National Provider Identifier
1629488077
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00459600 Issued in NJ
Practice address
508 High St
Mount Holly, NJ 08060-1052
Phone
(609) 261-8963
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00459600 NJ
Family Nurse Practitioner 363LF0000X 26NJ00459600 NJ Primary

Addresses

Primary practice location

508 High St
Mount Holly, NJ 08060-1052

Mailing address

24 Cypress Point Rd
Mount Holly, NJ 08060-4742
Phone (609) 351-2349

Other practice location 1

524 Williamstown Rd
Sicklerville, NJ 08081-1800
Phone (856) 728-1181

Other identifiers 2

IdentifierTypeStateIssuer
0455091OtherNJMEDICAID GROUP
381020OtherNJMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160229003039 PA Practitioner - Nurse Practitioner 7416252481 Reassigns benefits to 1 organization
I20170222000746 NJ Practitioner - Nurse Practitioner 7416252481 Reassigns benefits to 3 organizations
I20200806000803 OH Practitioner - Nurse Practitioner 7416252481 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00459600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Dec 1, 2022 Accepting new patients
Central Jersey Urgent Care CurrentSince Aug 24, 2022 Accepting new patients
Central Jersey Urgent Care CurrentSince Aug 24, 2022 Accepting new patients
Senacare, LLC CurrentSince May 3, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 3, 2022 Accepting new patients
Senacare, LLC CurrentSince May 3, 2023 Accepting new patients
Clare Medical of New Jersey LLC CurrentSince Jul 14, 2018 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 3, 2022 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442

507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

2019 Welsh Rd
Dresher, PA 19025
Phone (267) 434-1107

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
  • Direct secure messaging: renada.woodward@202362935902212.direct.elationemr.com

Organizations & group practices 8

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1629488077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CYPRESS POINT RD",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080604742",
            "telephone_number": "609-351-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601052",
            "telephone_number": "609-261-8963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Williamstown Rd",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080811800",
            "country_code": "US",
            "telephone_number": "856-728-1181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "RENADA",
        "middle_name": "R.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00459600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00459600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0455091",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "381020",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.