Individual provider Active NPI

Lawanda M Wood, DNP, APRN, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1760007686
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024179387 Issued in VA
Practice address
930 Majestic Ave
Norfolk, VA 23504-4055
Phone
(757) 942-8020
NPI assigned
Jun 16, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024179387 VA Primary

Addresses

Primary practice location

930 Majestic Ave
Norfolk, VA 23504-4055

Mailing address

110 Alice St
Chesapeake, VA 23323-6101
Phone (757) 558-8157

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://vapcsirau0qluvy9u1app.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp?isLogout=yes Direct Primary Care Specialists, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0024179387VAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760007686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ALICE ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233236101",
            "telephone_number": "757-558-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MAJESTIC AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044055",
            "telephone_number": "757-942-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LAWANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024179387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://vapcsirau0qluvy9u1app.ecwcloud.com/mobiledoc/jsp/webemr/login/newLogin.jsp?isLogout=yes",
            "affiliation": "Y",
            "endpointDescription": "emr",
            "affiliationName": "Primary Care Specialists, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "930 Majestic Ave",
            "address_2": "Suite 220",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235044055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.