Individual provider Active NPI

Carol Woodward, APRN

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1720501620
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112229628-4405 Issued in UT
Practice address
4055 Valley View LN Ste 400
Dallas, TX 75244-5071
Phone
(855) 984-5121
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112229628-4405 UT Primary

Addresses

Primary practice location

4055 Valley View LN Ste 400
Dallas, TX 75244-5071

Mailing address

2100 E Bengal Blvd Apt H305
Cottonwood Heights, UT 84121-7149
Phone (385) 378-2348

Other practice location 1

2900 W Horizon Ridge Pkwy Ste 101
Henderson, NV 89052-5014
Phone (702) 544-0179

Other practice location 2

2480 Professional Ct
Las Vegas, NV 89128-0835
Phone (702) 405-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251028003000 NY Practitioner - Nurse Practitioner 4486910809 Reassigns benefits to 1 organization
I20251219003327 UT Practitioner - Nurse Practitioner 4486910809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309011NYMDLicensed Practical Nurse
112229628-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Sep 20, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 5, 2025 Accepting new patients
Ammar PLLC PastSince Oct 1, 2017 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1720501620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E BENGAL BLVD APT H305",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841217149",
            "telephone_number": "385-378-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 VALLEY VIEW LN STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752445071",
            "telephone_number": "855-984-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 W Horizon Ridge Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525014",
            "country_code": "US",
            "telephone_number": "702-544-0179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2480 Professional Ct",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280835",
            "country_code": "US",
            "telephone_number": "702-405-7100",
            "fax_number": "702-405-3017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "CAROL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "112229628-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.