Individual provider Active NPI

Sue Allyson Woodson, C.N.M

  • Advanced Practice Midwife
  • Charlottesville, VA
National Provider Identifier
1659489219
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0024082072 Issued in VA
Practice address
2964 Hydraulic Rd
Charlottesville, VA 22901-8902
Phone
(434) 296-1000
Fax
(434) 975-3424
NPI assigned
Aug 25, 2006
Last updated
Feb 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0024082072 VA Primary
Registered Nurse 163W00000X 0001082072 VA

Addresses

Primary practice location

2964 Hydraulic Rd
Charlottesville, VA 22901-8902

Mailing address

2964 Hydraulic Rd
Charlottesville, VA 22901-8902
Phone (434) 296-1000

Other identifiers 1

IdentifierTypeStateIssuer
177880OtherVAANTHEM PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050421001044 VA Practitioner - Nurse Practitioner 5294773081 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001082072VAMDRegistered Nurse
0024082072VAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson OB GYN LTD CurrentSince May 11, 2013 Accepting new patients

Locations

600 Peter Jefferson Pkwy
Ste 290
Charlottesvle, VA 22911
Phone (434) 977-4091

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1659489219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 HYDRAULIC RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018902",
            "telephone_number": "434-296-1000",
            "fax_number": "434-975-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 HYDRAULIC RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018902",
            "telephone_number": "434-296-1000",
            "fax_number": "434-975-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "SUE",
        "middle_name": "ALLYSON",
        "credential": "C.N.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024082072",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001082072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "177880",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.