Crystal June Woods, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71003286B Issued in IN

Practice address

440 W Songer LN
Veedersburg, IN 47987-8547

Phone

(765) 762-4180

Fax

(765) 764-4181

NPI assigned

Aug 19, 2010

Last updated

Apr 10, 2015By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cleanslate Medical Group of Indiana LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Alexandria, IN
  • NPI 1023464294
  Medicare reassignment NPD
• Community Health Intervention and Education Foundation Incorporated

  dba Family Health & Help Center

  • Family Medicine Physician
  • Rockville, IN
  • NPI 1245392539
  Medicare reassignment NPD
• Everside Health, LLC

  • Clinic/Center
  • Covington, IN
  • NPI 1003490996
  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1801102579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W SONGER LN",
            "city": "VEEDERSBURG",
            "state": "IN",
            "postal_code": "479878547",
            "telephone_number": "765-762-4180",
            "fax_number": "765-764-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W SONGER LN",
            "city": "VEEDERSBURG",
            "state": "IN",
            "postal_code": "479878547",
            "telephone_number": "765-762-4180",
            "fax_number": "765-764-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "CRYSTAL",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003286B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201021400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Fountain School Corporation
• St. Vincent Williamsport Hospital (Ascension St. Vincent Williamsport)
• St. Vincent Williamsport Hospital (Ascension St. Vincent Williamsport)
• Michael R Stewart, MD
• Tender Care Mobile X-Ray Comp., Inc
• Diane Joy Gonzales Zaragoza, MD

• Family Nurse Practitioner in Veedersburg, IN
• Providers in Veedersburg, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.