Jaci Lynn Woods, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2020009259 Issued in MO

Practice address

500 Porter Ave
Aurora, MO 65605-2365

Phone

(417) 678-7980

NPI assigned

Jun 8, 2020

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

State licenses

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1871117697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PORTER AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052365",
            "telephone_number": "417-678-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTER AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "656052365",
            "telephone_number": "417-678-7980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W US Highway 60",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "MO",
            "postal_code": "655488542",
            "country_code": "US",
            "telephone_number": "417-934-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 Main St",
            "address_purpose": "LOCATION",
            "city": "Cassville",
            "state": "MO",
            "postal_code": "656251610",
            "country_code": "US",
            "telephone_number": "417-847-6019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Carter St",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "AR",
            "postal_code": "726164303",
            "country_code": "US",
            "telephone_number": "870-423-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JACI",
        "middle_name": "LYNN",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2020009259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A. Watts, D.C.
• Denise Wingo, M.S. CCC-SLP
• Christopher Winters, M.S., PLPC
• Traci Lynn Witthuhn, LCSW
• Bethany Anne Woods, FNP
• Karah Dawn Young, LCSW

• Registered Dietitian in Aurora, MO
• Providers in Aurora, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.