Individual provider Active NPI

Shannon Michelle Woods, APRN, FNP

  • Family Nurse Practitioner
  • Bardstown, KY
National Provider Identifier
1730697517
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011823 Issued in KY
Practice address
4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone
(502) 350-1022
Fax
(502) 350-1023
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3011823 KY
Family Nurse Practitioner 363LF0000X 3011823 KY Primary

Addresses

Primary practice location

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other identifiers 1

IdentifierTypeStateIssuer
7100501970MedicaidKY

Other names 1

  • Shannon Michelle Caproon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20180227001319 KY Practitioner - Nurse Practitioner 1355602723 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flaget Healthcare IncGroup PAC ID 5890692024, 19 clinicians

Practice addresses (Care Compare)

110 S Salem Dr
Bardstown, KY 40004-1761
Phone (502) 350-5081

118 Patriot Dr
Suite 102
Bardstown, KY 40004-9094
Phone (502) 350-1022

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3011823KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Jan 10, 2018 Accepting new patients
Flaget Healthcare, Inc CurrentSince Oct 1, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Jan 10, 2018 Accepting new patients
Flaget Healthcare Inc Nurse Practitioner Current Accepting new patients
Flaget Healthcare Inc CurrentSince Oct 1, 2025 Accepting new patients
Kentuckyone Health Medical Group, Inc. Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Bardstown Primary Care, PLLC Nurse Practitioner CurrentSince Jan 14, 2022 Accepting new patients
Bardstown Primary Care, PLLC CurrentSince Jan 14, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 26, 2022 Accepting new patients

Locations

1095 Morton Ave
Bardstown, KY 40004
Phone (502) 601-0107

118 Patriot Dr
Ste 102
Bardstown, KY 40004
Phone (502) 350-1022

4371 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 348-5685

201 S 5th St
Bardstown, KY 40004
Phone (502) 348-5968

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

110 S Salem Dr
Bardstown, KY 40004
Phone (502) 350-5081

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

796 W Broadway St
Campbellsville, KY 42718
Phone (270) 572-4933

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

757 W Main St
Lebanon, KY 40033
Phone (270) 972-4186

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

727 Hospital Dr
Shelbyville, KY 40065
Phone (502) 633-2345

Interoperability endpoints

  • Direct secure messaging: swoods315343@direct.stlukeshealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1730697517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "502-350-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048040",
            "telephone_number": "502-350-1022",
            "fax_number": "502-350-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011823",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100501970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CAPROON",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.