Joshua Woodland

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11772561-4405 Issued in UT

Practice address

1206 W South Jordan Pkwy Ste D
South Jordan, UT 84095-5519

Phone

(801) 302-3801

Fax

(801) 302-7248

NPI assigned

Apr 22, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• South Point Counseling Services, LLC

  • Clinical Social Worker
  • South Jordan, UT
  • NPI 1265709844
  Medicare reassignment NPD
• Woodland Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midvale, UT
  • NPI 1063246015
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1689429680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 E MARIE DR",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472128",
            "telephone_number": "208-488-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W SOUTH JORDAN PKWY STE D",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840955519",
            "telephone_number": "801-302-3801",
            "fax_number": "801-302-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLAND",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-240395",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "79207",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "307248",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11772561-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brannen Winn
• Dorothy Sue Winters, CSW
• Brooke Wittman, CMHC
• Carina Paula Wolf, CSW
• Riley Nicole Wood, PT, DPT
• Kylie Woodward
• Randall Edward Woodward, D.C.
• Rylee Faye Woodward, LME
• Wren Hollow Medical LLC
• Natalie Wright

• Psychiatric/Mental Health Nurse Practitioner in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.