Active NPI
Renee Banning Woods
- Obstetrics & Gynecology Physician
- Yakima, WA
National Provider Identifier
1639252224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00038313
- Practice address
- 4702 Summitview Ave Ste 102
Yakima, WA 98908 - Phone
- (509) 571-1300
- Fax
- (877) 334-1891
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0038313 | WA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD00038313 | WA | Primary |
Addresses
Primary practice location
4702 Summitview Ave Ste 102
Yakima, WA 98908
Mailing address
4702 Summitview Ave Ste 102
Yakima, WA 98908-6001
Phone (509) 571-1300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4138415 | Other | WA | AETNA |
| 1034867 | Medicaid | WA | |
| 8080WO | Other | WA | ASURIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 29, 2024 through Nov 29, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0038313 | WA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1639252224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4702 SUMMITVIEW AVE STE 102",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989086001",
"telephone_number": "509-571-1300",
"fax_number": "877-334-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4702 SUMMITVIEW AVE STE 102",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98908",
"telephone_number": "509-571-1300",
"fax_number": "877-334-1891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "RENEE",
"middle_name": "BANNING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "0038313",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00038313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4138415",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1034867",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS",
"identifier": "8080WO",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.