Maria Magdalena Serafin Woods

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

754716 Issued in WA

Practice address

2108 71St St NE
Tulalip, WA 98271-9119

Phone

(360) 651-8672

Fax

(425) 963-2256

NPI assigned

Nov 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Magdalena Serafin Staley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1790386381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 71ST ST NE",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719119",
            "telephone_number": "360-651-8672",
            "fax_number": "425-963-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 71ST ST NE",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719119",
            "telephone_number": "360-651-8672",
            "fax_number": "425-963-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MARIA MAGDALENA",
        "middle_name": "SERAFIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "WA",
            "license": "754716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA MAGDALENA",
            "last_name": "STALEY",
            "middle_name": "SERAFIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carly Nicole Vonhoffmann
• Wenqian Wang
• Melissa Marie Webb
• James H Weisenbach, O.D.
• Cal Wilcox
• Bo Zhang, LMP

• Nursing Home Administrator in Tulalip, WA
• Providers in Tulalip, WA by specialty
• Nursing Home Administrator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.