Sue Ann Wood, MS, RN, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704117933 Issued in MI

Practice address

2889 S 11TH St
Kalamazoo, MI 49009-2123

Phone

(269) 343-1247

Fax

(269) 343-6661

NPI assigned

Sep 17, 2012

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

Other names 1

• Sue Ann Needham-Wood Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1780934810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 S 11TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092123",
            "telephone_number": "269-343-1247",
            "fax_number": "269-343-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2889 S 11TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092123",
            "telephone_number": "269-343-1247",
            "fax_number": "269-343-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "SUE",
        "middle_name": "ANN",
        "credential": "MS, RN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704117933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "NEEDHAM-WOOD",
            "middle_name": "ANN",
            "credential": "MS, RN, ANP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kali Rose Wood-Schrantz, LMSW
• Aaron Wood, LLMSW
• Jeffrey Wood, MD
• Morgan Wood
• Stacy Wood, LMFT
• Kendra Shardea Woodard
• Radeese Woodard
• Brandon Woodcox
• Jill Marie Woodhams, OT
• Priscilla L Woodhams, MD

• Adult Health Nurse Practitioner in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.