Laura Ann Woodberry, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

170237-30 Issued in WI

Practice address

2240 Prairie Ave
Beloit, WI 53511-2648

Phone

(608) 361-7200

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1831685619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2667 ZURFLUH RD",
            "city": "ALBANY",
            "state": "WI",
            "postal_code": "535029735",
            "telephone_number": "608-422-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 PRAIRIE AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112648",
            "telephone_number": "608-361-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBERRY",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "170237-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elana Fran Wistrom, DO
• Camryn A Withrow, SAC-IT
• Gretchen R Witowich, MS, RD, LDN
• Colleen E Wolf, PA-C
• Elizabeth Marie Wood, MS, RD, CD
• Eric P. Xanthopoulos, MD
• Steven S. Yang, M.D.
• Naja Yarbrough, SAC-IT
• David K Yoon, M.D.
• Michael James York, SAC

• Addiction (Substance Use Disorder) Registered Nurse in Beloit, WI
• Providers in Beloit, WI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.