Wyetha S Wood, ARNP, BC, MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2152P Issued in KY

Practice address

310 Hawthorne St
Princeton, KY 42445-1622

Phone

(270) 365-0227

Fax

(270) 365-2559

NPI assigned

Aug 12, 2005

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1790787315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4156",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422414156",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HAWTHORNE ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451622",
            "telephone_number": "270-365-0227",
            "fax_number": "270-365-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WYETHA",
        "middle_name": "S",
        "credential": "ARNP, BC, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2152P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78215209",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000505347",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Werner, BS, PHARMD, CGS
• Hannah Whitenton
• Rodney Pierce Whittington, R.PH.
• Jenna Janett Nicole Williams, LPCC-S
• Steven D Wilson, RPH
• Chelcia Wright, APRN
• Lorie Rashelle Wydotis, APRN, FNP-C
• Lara Beth Wynn, PHARMD

• Family Nurse Practitioner in Princeton, KY
• Providers in Princeton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.