Individual provider Active NPI

Alexandra Woodruff

  • Physician Assistant
  • Natick, MA
National Provider Identifier
1750015855
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18 Florence St
Natick, MA 01760-3550
Phone
(701) 320-1137
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

18 Florence St
Natick, MA 01760-3550

Mailing address

18 Florence St
Natick, MA 01760-3550
Phone (701) 320-1137

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awood3@stu.mcphs.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230815001842 CA Practitioner - Physician Assistant 4789046228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karin I Harp MD IncGroup PAC ID 7810134459, 8 clinicians

Practice addresses (Care Compare)

32144 Agoura Rd
Suite 112
Westlake Village, CA 91361-4043
Phone (818) 889-2739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1750015855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FLORENCE ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603550",
            "telephone_number": "701-320-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FLORENCE ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603550",
            "telephone_number": "701-320-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awood3@stu.mcphs.edu",
            "affiliation": "N",
            "address_1": "18 Florence St",
            "city": "Natick",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017603550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.