Individual provider Active NPI

Anna M Woods, ATC

  • Athletic Trainer
  • Fayetteville, AR
National Provider Identifier
1891456984
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2702 Issued in AL
Practice address
615 N Wordsworth LN
Fayetteville, AR 72704-5127
Phone
(901) 828-1106
NPI assigned
Jan 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2702 AL Primary

Addresses

Primary practice location

615 N Wordsworth LN
Fayetteville, AR 72704-5127

Mailing address

6235 Choctaw Trails
Olive Branch, MS 38654

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amw123@uark.edu

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

LicenseStateTypeSpecialty
2702ALMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1640995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1891456984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 CHOCTAW TRAILS",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "38654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N WORDSWORTH LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045127",
            "telephone_number": "901-828-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ANNA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-01",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amw123@uark.edu",
            "affiliation": "N",
            "endpointDescription": "school email",
            "address_1": "640 N Wordsworth Ln",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727045127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.