Individual provider Active NPI

Kimberly Woods

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1891543005
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906434 Issued in MS
Practice address
209 Brookfield Dr
Natchez, MS 39120-2711
Phone
(601) 316-3847
NPI assigned
May 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 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 906434 MS Primary

Addresses

Primary practice location

209 Brookfield Dr
Natchez, MS 39120-2711

Mailing address

209 Brookfield Dr
Natchez, MS 39120-2711
Phone (601) 316-3847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241030002929 TX Practitioner - Nurse Practitioner 4486187358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

3033 W Green Oaks Blvd
Arlington, TX 76016-2261
Phone (817) 222-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906434MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC Family CurrentSince May 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

3033 W Green Oaks Blvd
Arlington, TX 76016
Phone (817) 222-6000

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

11020 Dessau Rd
Austin, TX 78754
Phone (512) 871-2244

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1891543005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BROOKFIELD DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391202711",
            "telephone_number": "601-316-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BROOKFIELD DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391202711",
            "telephone_number": "601-316-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.