Individual provider Active NPI

Nicole Woods, FNP-BC

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1891532065
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11033934 Issued in FL
Practice address
4012 Sawyer Rd Suite 101-104
Sarasota, FL 34233
Phone
(941) 893-2688
NPI assigned
Jul 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11033934 FL Primary

Addresses

Primary practice location

4012 Sawyer Rd Suite 101-104
Sarasota, FL 34233

Mailing address

4012 Sawyer Rd Suite 101-104
Sarasota, FL 34233
Phone (941) 893-2688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830000671 FL Practitioner - Nurse Practitioner 4981143260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Re3 Stem Cell and Healing Institute PLLCGroup PAC ID 2163795832, 5 clinicians

Practice addresses (Care Compare)

3534 Fruitville Rd
Sarasota, FL 34237-9026
Phone (941) 893-2688

Hospital & facility affiliations

  • Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11033932FLMDNurse Practitioner
11033934FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Re3 Stem Cell and Healing Institute PLLC CurrentSince Jul 30, 2024 Accepting new patients
Spartan Anesthesia Associates PA PastSince Jul 21, 2024 Accepting new patients

Locations

2010 59th St W
Ste 1500
Bradenton, FL 34209
Phone (941) 757-5445

8340 Lakewood Ranch Blvd
Ste 180
Lakewood Ranch, FL 34202
Phone (941) 748-2455

3534 Fruitville Rd
Sarasota, FL 34237
Phone (941) 893-2688

4012 Sawyer Rd
Ste 101104
Sarasota, FL 34233
Phone (941) 893-2688

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nicole.woods.1@23144.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1891532065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 SAWYER RD SUITE 101-104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-893-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 SAWYER RD SUITE 101-104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34233",
            "telephone_number": "941-893-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.