Individual provider Active NPI

Wood Scottie Jean Louis

  • Licensed Practical Nurse
  • Bay Shore, NY
National Provider Identifier
1801720776
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
356250 Issued in NY
Practice address
1076 Reilly St
Bay Shore, NY 11706-2612
Phone
(516) 395-5009
NPI assigned
Jun 9, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 356250 NY Primary

Addresses

Primary practice location

1076 Reilly St
Bay Shore, NY 11706-2612

Mailing address

1076 Reilly St
Bay Shore, NY 11706-2612
Phone (516) 395-5009

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

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1801720776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 REILLY ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062612",
            "telephone_number": "516-395-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 REILLY ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062612",
            "telephone_number": "516-395-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN LOUIS",
        "first_name": "WOOD",
        "middle_name": "SCOTTIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "356250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.