Jessica Wood, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024175790 Issued in VA

Practice address

4007 Clifford St
Portsmouth, VA 23707-2915

Phone

(252) 207-2824

NPI assigned

Feb 16, 2018

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bon Secours Medical Group Hampton Roads Primary Care LLC

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1528627379
  Medicare reassignment NPD

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1659871580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 CLIFFORD ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072915",
            "telephone_number": "252-207-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 CLIFFORD ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237072915",
            "telephone_number": "252-207-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JESSICA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Womens Imaging Center of Portsmouth LLC
• Warren Woo, MD
• Angela K Wood, MD
• Griffith Edwin Wood
• Jasmine Wood, MD
• Karl Douglas Woodard
• Woodbine Alf Operations LLC
• Andrew Woodhouse, M.D.
• Samuel Woodle, MD
• Sean Woodring, DO

• Family Nurse Practitioner in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.

Verify at the official NPI Registry.