Active NPI
Mary Margaret Woodruff
- Health Educator
- Flint, MI
National Provider Identifier
1891265476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 411 E. Third St Suite 2
Flint, MI 48503 - Phone
- (810) 232-0522
- NPI assigned
- Nov 27, 2018
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
411 E. Third St Suite 2
Flint, MI 48503
Mailing address
6454 Brookview Drive
Grand Blanc, MI 48439
Phone (810) 813-2343
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1891265476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6454 BROOKVIEW DRIVE",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "48439",
"telephone_number": "810-813-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E. THIRD ST SUITE 2",
"city": "FLINT",
"state": "MI",
"postal_code": "48503",
"telephone_number": "810-232-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODRUFF",
"first_name": "MARY",
"middle_name": "MARGARET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.