Individual provider Active NPI

Elizabeth Stewart Wood

  • Family Nurse Practitioner
  • Portland, TN
National Provider Identifier
1730956889
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35267 Issued in TN
Practice address
235 Highway 52 W
Portland, TN 37148-1407
Phone
(615) 802-1087
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 35267 TN Primary

Addresses

Primary practice location

235 Highway 52 W
Portland, TN 37148-1407

Mailing address

PO Box 306244
Nashville, TN 37230-6244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240131003761 TN Practitioner - Nurse Practitioner 2860845344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Solutions Dermatology and Skin Cancer Surgery, P.C.Group PAC ID 8820064140, 27 clinicians

Practice addresses (Care Compare)

200 Cool Springs Blvd
Franklin, TN 37067-2677
Phone (615) 771-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35267TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Solutions Dermatology & Skin Cancer Surgery, P.C. CurrentSince Jul 15, 2024 Accepting new patients
Stratum Health Collective PLLC PastSince Jul 15, 2024 Accepting new patients

Locations

2130 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (615) 771-7546

200 Cool Springs Blvd
Franklin, TN 37067
Phone (615) 224-2670

Organizations & group practices 2

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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1730956889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306244",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HIGHWAY 52 W",
            "city": "PORTLAND",
            "state": "TN",
            "postal_code": "371481407",
            "telephone_number": "615-802-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ELIZABETH",
        "middle_name": "STEWART",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TN

Sources for this page

Verify at the official NPI Registry.