Active NPI
Carol Louise Wood, RD, LN
- Registered Dietitian
- Billings, MT
National Provider Identifier
1861615023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 231
- Practice address
- 3201 Leeann Blvd
Billings, MT 59102-0422 - Phone
- (406) 651-8791
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 231 | MT | Primary |
Addresses
Primary practice location
3201 Leeann Blvd
Billings, MT 59102-0422
Mailing address
3201 Leeann Blvd
Billings, MT 59102-0422
Phone (406) 651-8791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0280319 | Medicaid | MT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231 | MT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861615023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 LEEANN BLVD",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591020422",
"telephone_number": "406-651-8791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 LEEANN BLVD",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591020422",
"telephone_number": "406-651-8791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CAROL",
"middle_name": "LOUISE",
"credential": "RD, LN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0280319",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.