Individual provider Active NPI

Anna Schwalb Woods, MS, CCC-A

  • Audiologist
  • Jefferson City, TN
National Provider Identifier
1760742662
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0000001349 Issued in TN
Practice address
661 E Broadway Blvd
Suite C
Jefferson City, TN 37760-2057
Phone
(865) 471-0466
Fax
(865) 471-0468
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 0000001349 TN
Audiologist 231H00000X 0000001349 TN Primary

Addresses

Primary practice location

661 E Broadway Blvd
Suite C
Jefferson City, TN 37760-2057

Mailing address

661 E Broadway Blvd, Ste C
Jefferson City, TN 37760
Phone (865) 471-0466

Other identifiers 1

IdentifierTypeStateIssuer
103I649620OtherTNMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000543 TN Practitioner - Qualified Audiologist 7618128877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
East Tennessee State University Quillen College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

661 E Broadway Blvd
Suite C
Jefferson City, TN 37760-2057
Phone (865) 471-0466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0000001349TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Center for Hearing Loss & Related Disorders, LLC Audiologist CurrentSince Jan 22, 2024 Accepting new patients

Locations

1004 N Highway 92
Ste D
Jefferson City, TN 37760
Phone (865) 471-0466

661 E Broadway Blvd
Ste C
Jefferson City, TN 37760
Phone (865) 471-0466

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1760742662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E BROADWAY BLVD, STE C",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "37760",
            "telephone_number": "865-471-0466",
            "fax_number": "865-471-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E BROADWAY BLVD",
            "address_2": "SUITE C",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377602057",
            "telephone_number": "865-471-0466",
            "fax_number": "865-471-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ANNA",
        "middle_name": "SCHWALB",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2023-06-08",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TN",
            "license": "0000001349",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000001349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "103I649620",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.