Active NPI
Tena Lee Wood I, LVN
- Licensed Practical Nurse
- Granbury, TX
National Provider Identifier
1689213415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L060797
- Practice address
- 302 S. Crites Granbury TX. 76048
302 S. Crites Granbury TX. 76048
Granbury, TX 76048 - Phone
- (817) 559-5308
- NPI assigned
- Dec 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L060797 | AR | Primary |
Addresses
Primary practice location
302 S. Crites Granbury TX. 76048
302 S. Crites Granbury TX. 76048
Granbury, TX 76048
Mailing address
302 S. Crites Granbury TX. 76048
302 S. Crites Granbury TX. 76048
Granbury, TX 76048
Phone (817) 559-5308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L060797 | AR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1689213415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 S. CRITES GRANBURY TX. 76048",
"address_2": "302 S. CRITES GRANBURY TX. 76048",
"city": "GRANBURY",
"state": "TX",
"postal_code": "76048",
"telephone_number": "817-559-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S. CRITES GRANBURY TX. 76048",
"address_2": "302 S. CRITES GRANBURY TX. 76048",
"city": "GRANBURY",
"state": "TX",
"postal_code": "76048",
"telephone_number": "817-559-5308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "TENA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"name_suffix": "I",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AR",
"license": "L060797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.