Kelli Woods

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2020 Thompson Rd
Coos Bay, OR 97420-2041

Phone

(541) 267-3511

Fax

(541) 267-3512

NPI assigned

Mar 11, 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

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.

• Kairos Northwest

  dba Kairos

  • Community/Behavioral Health Agency
  • Grants Pass, OR
  • NPI 1487782900
  NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1881229797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NEBRASKA AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275700",
            "telephone_number": "541-956-4943",
            "fax_number": "541-295-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 THOMPSON RD",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202041",
            "telephone_number": "541-267-3511",
            "fax_number": "541-267-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony L Wilson, CRM
• James A Wilson, RPH
• Rebecca Maria Wilson, CPHT
• Jelena Wittwer, O.T.R.
• James Patrick Woods, MD
• Merrill N Workhoven, MD
• Toni Wyatt-Kirkeby, LCSW
• Nicole Jazmine Wyatt
• Hee Ran Yang
• Angela Renee York, N.P.

• Peer Specialist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.