Phyllis Yvonne Woodson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

852115 Issued in NV

Practice address

540 W Horizon Ridge Pkwy Unit 3201
Henderson, NV 89012-5272

Phone

(901) 220-7700

NPI assigned

Jan 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1629831037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W HORIZON RIDGE PKWY UNIT 3201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125272",
            "telephone_number": "901-220-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W HORIZON RIDGE PKWY UNIT 3201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890125272",
            "telephone_number": "901-220-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "PHYLLIS",
        "middle_name": "YVONNE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "852115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Woodfin
• Jennifer Jean Woodie, BCBA
• Renee Marie Woodring, CPC
• Keangela Woods
• Woodson Dermatology
• Fatimah Wooten
• Kiteuna Lashana Pauline Wooten
• Tunchanok Wopech, NP
• Natashia Wordlow
• Wound Care Anywhere, PC

• Licensed Practical Nurse in Henderson, NV
• Providers in Henderson, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.