Peary Wood

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

2861 Mountain St
Carson City, NV 89703-1539

Phone

(775) 885-9223

NPI assigned

Oct 15, 2018

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• TSL Skyline Estates, LLC

  • Assisted Living Facility
  • Carson City, NV
  • NPI 1023589959
  NPD Authorized official
• TSL Skyline Estates, LLC

  • Assisted Living Facility
  • Carson City, NV
  • NPI 1609332949
  NPD Authorized official

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1881160182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 SW BARBUR BLVD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195425",
            "telephone_number": "503-719-5614",
            "fax_number": "503-477-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031539",
            "telephone_number": "775-885-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "PEARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523037",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523038",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524973",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Steven Wolff, M.D.
• Swetha Sirisinahal Wolfson
• Mark R Wolz, MD
• Justine Stacey Wong, DDS
• Karina Wood, MD
• Savannah Elizabeth Grace Wood, LCSW
• Daniel Franklin Woodall, BA PSR BST
• Stephanie A Woodard, PSY.D.
• Loren Tyler Wooldridge, DPT
• Woundology Nevada PLLC

• Assisted Living Facility in Carson City, NV
• Providers in Carson City, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.