Individual provider Active NPI

Jennifer Theresa Woodford, FNP-C

  • Family Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1720366982
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336916-1 Issued in NY
Practice address
2220 Vestal Pkwy E FL 2
Vestal, NY 13850-1947
Phone
(607) 306-7546
Fax
(607) 821-7848
NPI assigned
Jul 21, 2011
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336916-1 NY Primary
Registered Nurse 163W00000X 594132 NY

Addresses

Primary practice location

2220 Vestal Pkwy E FL 2
Vestal, NY 13850-1947

Mailing address

2220 Vestal Pkwy E FL 2
Vestal, NY 13850-1947
Phone (607) 306-7546

Other identifiers 1

IdentifierTypeStateIssuer
03447481MedicaidNY

Other names 1

  • Jennifer Theresa McLaughlin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120524000511 NY Practitioner - Nurse Practitioner 4486817707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broome Family Nurse Practitioners PCGroup PAC ID 0648504274, 5 clinicians

Practice addresses (Care Compare)

2220 Vestal Pkwy
FL 2
Vestal, NY 13850-1947
Phone (607) 306-7546

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
594132NYMDRegistered Nurse
F336916-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Jul 1, 2012 Accepting new patients
Broome Family Nurse Practitioners PC Family CurrentSince Sep 29, 2022 Accepting new patients
United Medical Associates, P.C. CurrentSince Jul 1, 2012 Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

33 Lewis Rd
Ste 2
Binghamton, NY 13905

91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

2220 Vestal Pkwy
#2
Vestal, NY 13850
Phone (607) 306-7546

2220 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 235-2662

2220 Vestal Pkwy E
#2
Vestal, NY 13850
Phone (607) 306-7546

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1720366982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 VESTAL PKWY E FL 2",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501947",
            "telephone_number": "607-306-7546",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 VESTAL PKWY E FL 2",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501947",
            "telephone_number": "607-306-7546",
            "fax_number": "607-821-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFORD",
        "first_name": "JENNIFER",
        "middle_name": "THERESA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336916-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "594132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03447481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCLAUGHLIN",
            "middle_name": "THERESA",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.