Individual provider Active NPI

Seth Michael Woodruff, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1760794408
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP-06166 Issued in LA
Practice address
215 Rue Fontaine
Lafayette, LA 70508-5742
Phone
(378) 889-3682
Fax
(337) 806-9339
NPI assigned
Jul 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP-06166 LA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP-06166 LA Primary

Addresses

Primary practice location

215 Rue Fontaine
Lafayette, LA 70508-5742

Mailing address

215 Rue Fontaine
Lafayette, LA 70508-5742
Phone (337) 889-3682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20200826000062 LA Practitioner - Nurse Practitioner 4880011642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 Moss Brook Dr
Lafayette, LA 70508-8039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP-06166LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Medical LLC Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Acadiana Family Physicians, Inc., a.P.M.C. Single Specialty PastSince Apr 29, 1996 Accepting new patients

Locations

215 Rue Fontaine
Lafayette, LA 70508
Phone (337) 577-5203

Interoperability endpoints

  • Direct secure messaging: swoodruff1099135@direct.ochsner.org

Organizations & group practices 2

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": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1760794408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RUE FONTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085742",
            "telephone_number": "337-889-3682",
            "fax_number": "337-806-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 RUE FONTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085742",
            "telephone_number": "378-889-3682",
            "fax_number": "337-806-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "SETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-10",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP-06166",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP-06166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.