Jennifer Wood, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024180162 Issued in VA

Practice address

350 Poplar Dr
Petersburg, VA 23805-9367

Phone

(804) 244-1250

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HHC Poplar Springs LLCGroup PAC ID 5991786782, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• HHC Poplar Springs LLC.

  • Psychiatric Hospital
  • Petersburg, VA
  • NPI 1124051701
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1750985644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 BENDING BIRCH LN",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411373",
            "telephone_number": "804-244-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POPLAR DR",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059367",
            "telephone_number": "804-244-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Lorraine Winfield, LPC
• Cheryl Denise Winston, NURSE PRACTITIONER
• James Lavon Winston, FNP
• Latrice Winston III, LPC
• Jazmine Camille Wood
• Imoni Malika Patrice Woodberry, LPC
• Altamarie Woods
• Rebecca Maxine Wyatt, CADC, CCJP, CSC
• Brenda C Wyche, LPC
• Xiao Hong Jin MD PLLC

• Nurse Practitioner in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.