Individual provider Active NPI

Gwendolyn Irene Woodland, NP

  • Acute Care Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1801104542
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R689882 Issued in MS
Practice address
16441 S Harrells Ferry Rd
Apt. 3706
Baton Rouge, LA 70816-3599
Phone
(225) 753-4482
Fax
(225) 389-0802
NPI assigned
Sep 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R689882 MS Primary

Addresses

Primary practice location

16441 S Harrells Ferry Rd
Apt. 3706
Baton Rouge, LA 70816-3599

Mailing address

16441 S Harrells Ferry Rd
Baton Rouge, LA 70816-3599
Phone (225) 753-4482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R689882MSMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1801104542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16441 S HARRELLS FERRY RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163599",
            "telephone_number": "225-753-4482",
            "fax_number": "225-389-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16441 S HARRELLS FERRY RD",
            "address_2": "APT. 3706",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163599",
            "telephone_number": "225-753-4482",
            "fax_number": "225-389-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLAND",
        "first_name": "GWENDOLYN",
        "middle_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "R689882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.