Ivey Bob Woodard, ANP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000012412 Issued in TN

Practice address

501 Houston St
Chattanooga, TN 37403-3409

Phone

(423) 425-4453

Fax

(423) 425-2266

NPI assigned

Jan 12, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Doctors Home Visits, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • Chattanooga, TN
  • NPI 1215112891
  NPD (past)
• Sports Care of Chattanooga PLLC

  • Sports Medicine (Family Medicine) Physician
  • Chattanooga, TN
  • NPI 1982690038
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224460800000",
    "number": "1720138324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7276 FALCON BLUFF DR",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373772864",
            "telephone_number": "423-517-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOUSTON ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033409",
            "telephone_number": "423-425-4453",
            "fax_number": "423-425-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "IVEY",
        "middle_name": "BOB",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000012412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Wood, MD
• Tamara Wood, CCC-SLP
• Tara L Wood, LCSW
• Christina Mae Woodard, CRNA
• Elizabeth Suzanne Woodard, LPC
• Lori A Woodard, CRNA
• Woodland Medical PLLC
• Brandon Woodruff
• Kathryn Woodruff
• Yohunnah V. Woods-Moton, MA, LPC-MHSP

• Family Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.