Woodham Family Medical, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WOODHAM FAMILY MEDICAL, LLC

Doing business as

Natasha Woodham, ARNP
Nurse Practitioner Associates

Practice address

1621 Tennessee Ave
Lynn Haven, FL 32444-3652

Phone

(850) 872-0774

NPI assigned

Jul 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Natasha Celest Woodham, APRNNPI 1073930947

Title

Owner/Operator

Phone

(850) 872-0774

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Natasha Woodham, ARNP Doing business as
• Nurse Practitioner Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natasha Celest Woodham, APRN

  • Family Nurse Practitioner
  • Lynn Haven, FL
  • NPI 1073930947
  Medicare reassignment Care Compare group Authorized official
• Michelle Crisostomo Cantrell, RN

  • Nurse Practitioner
  • Lynn Haven, FL
  • NPI 1659252518
  Care Compare group NPD

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1740665371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 FRANK HOUGH RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324043062",
            "telephone_number": "850-896-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 TENNESSEE AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443652",
            "telephone_number": "850-872-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAM FAMILY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "WOODHAM",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "CELEST",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "850-872-0774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073930947",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natasha Woodham, ARNP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nurse Practitioner Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonya White
• Vincenza White
• William C Forrest
• Steven R Wilson, R.PH.
• Brittany Wobser, LPTA
• Natasha Celest Woodham, APRN
• Jasmine Monique Woods
• Anna Worcester
• World Healthcare and Consulting, LLC.
• Sabrina Woumpa, PTA

• Family Nurse Practitioner in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.