Active NPI
Altin Wood, CRNP
- Neonatal Nurse Practitioner
- Fort Campbell, KY
National Provider Identifier
1811447428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- SP018625
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223 - Phone
- (270) 956-0020
- NPI assigned
- Oct 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | SP018625 | PA | Primary |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223
Mailing address
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 956-0020
Other practice location 1
345 St. Paul Place
8th Floor
Baltimore, MD 21202-2102
Phone (410) 332-9594
Other practice location 2
650 Joel Dr
Fort Campbell, KY 42223
Phone (270) 956-0020
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1811447428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "270-956-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "270-956-0020"
}
],
"practiceLocations": [
{
"address_1": "345 St. Paul Place",
"address_2": "8th Floor",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212022102",
"country_code": "US",
"telephone_number": "410-332-9594",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 Joel Dr",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "42223",
"country_code": "US",
"telephone_number": "270-956-0020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "ALTIN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-06",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "PA",
"license": "SP018625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.