Active NPI
Renada R. Woodward, FNP-C
- Family Nurse Practitioner
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00459600
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0455091 | Other | NJ | MEDICAID GROUP |
| 381020 | Other | NJ | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00459600 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Central Jersey Urgent Care | Current | Accepting new patients | |
| Central Jersey Urgent Care | Current | Accepting new patients | |
| Senacare, LLC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Senacare, LLC | Current | Accepting new patients | |
| Clare Medical of New Jersey LLC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | 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
- https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
- 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.
-
- Urgent Care Clinic/Center
- Ocean, NJ
- NPI 1316285091
-
- Geriatric Medicine (Family Medicine) Physician
- Mount Holly, NJ
- NPI 1255718276
-
- Internal Medicine Physician
- Mullica Hill, NJ
- NPI 1104447127
-
- Urgent Care Clinic/Center
- Dresher, PA
- NPI 1225619638
-
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1295316602
-
- Urgent Care Clinic/Center
- Skillman, NJ
- NPI 1407421985
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1023989837
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.