Jacqualyn H Wood, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN252291 Issued in MA

Practice address

Harbor Health Neponset Health Center
398 Neponset Ave
Boston, MA 02122-0212

Phone

(617) 282-3200

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1740885474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUCK PLAIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604523",
            "telephone_number": "774-269-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARBOR HEALTH NEPONSET HEALTH CENTER",
            "address_2": "398 NEPONSET AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021220212",
            "telephone_number": "617-282-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 NEPONSET HEALTH CENTER",
            "address_purpose": "LOCATION",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02122",
            "country_code": "US",
            "telephone_number": "617-282-3200",
            "fax_number": "617-282-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JACQUALYN",
        "middle_name": "H",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN252291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wood, PTA
• Amanda Bowersox Wood
• Diana Newton Wood, MD
• Ellen Wood, MS
• Erin Wood
• Jameson B Wood, PHARMD, BCOP
• Justin Wood
• Karen D Wood, M.D.
• Lianna F Wood, MD
• Michaela Wood

• Registered Nurse in Boston, MA
• Providers in Boston, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.