Individual provider Active NPI

Sheree Woodall, FNP

  • Family Nurse Practitioner
  • Newport, KY
National Provider Identifier
1811779895
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4007303 Issued in KY
Practice address
130 Pavilion Pkwy
Newport, KY 41071-2998
Phone
(513) 872-1500
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0035122 OH
Family Nurse Practitioner 363LF0000X 4007303 KY Primary

Addresses

Primary practice location

130 Pavilion Pkwy
Newport, KY 41071-2998

Mailing address

2713 Harris Pike
Independence, KY 41051-9706
Phone (859) 816-3882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231127001560 OH Practitioner - Nurse Practitioner 1557719903 Reassigns benefits to 1 organization
I20240113000544 KY Practitioner - Nurse Practitioner 1557719903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Kiosk Medicine Kentucky LLCGroup PAC ID 6002887510, 169 clinicians
Triad Health Systems, Inc.Group PAC ID 4082798699, 21 clinicians

Practice addresses (Care Compare)

130 Pavilion Pkwy
Newport, KY 41071-2998
Phone (859) 652-7203

441 US Hwy 42 W
Warsaw, KY 41095-9561
Phone (859) 567-1591

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Systems, Inc. CurrentSince Jan 26, 2026 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Oct 19, 2023 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Dec 29, 2023 Accepting new patients
Triad Health Systems, Inc. CurrentSince Jan 26, 2026 Accepting new patients

Locations

53 Donnermeyer Dr
Bellevue, KY 41073
Phone (859) 431-5413

329 Floyd Dr
Carrollton, KY 41008
Phone (502) 732-1082

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

375 Cross Roads Blvd
Newport, KY 41076
Phone (859) 448-1170

130 Pavilion Pkwy
Newport, KY 41071
Phone (859) 292-5680

441 US Highway 42 W
Warsaw, KY 41095
Phone (859) 567-1271

1 W Corry St
Cincinnati, OH 45219
Phone (513) 475-7755

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

Interoperability endpoints

  • Direct secure messaging: sheree.woodall@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1811779895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 HARRIS PIKE",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410519706",
            "telephone_number": "859-816-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PAVILION PKWY",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712998",
            "telephone_number": "513-872-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "SHEREE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0035122",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4007303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, KY

Sources for this page

Verify at the official NPI Registry.