Jamie Woodruff, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

289431 Issued in NY

Practice address

907 Broad St
Endicott, NY 13760-5103

Phone

(607) 341-6104

NPI assigned

May 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651881600000",
    "number": "1811633415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BROAD ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605103",
            "telephone_number": "607-341-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BROAD ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605103",
            "telephone_number": "607-341-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "JAMIE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-07",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "289431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164W00000X",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Endicott",
            "affiliation": "N",
            "address_1": "907 Broad St",
            "city": "Endicott",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137605103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Endicott",
            "affiliation": "N",
            "address_1": "907 Broad St",
            "city": "Endicott",
            "state": "NY",
            "country_code": "US",
            "postal_code": "137605103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shiloh Whitman, PA
• Michael Wiggins
• Georgia Anne Wimberly, LCSW
• Judith Wolf, RN
• Albert Wolkoff, M.D.
• Anna Kristine Zaccardo, LMHC
• Kacy L Zelesnikar, PA
• Sidan Zheng, PHARMD
• Kerry Zostant, MS, CCC-SLP

• Licensed Practical Nurse in Endicott, NY
• Providers in Endicott, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; 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.