Active NPI
Mary Woo, FNP, MSN, RN, CNS
- Family Nurse Practitioner
- Alameda, CA
National Provider Identifier
1902599582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16439
- Practice address
- 3221 Garfield Ave
Alameda, CA 94501-1713 - Phone
- (415) 860-4057
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| High-Risk Obstetric Registered Nurse | 163WX0002X | 632605 | CA | |
| Women's Health Clinical Nurse Specialist | 364SW0102X | 2507 | CA | |
| Family Nurse Practitioner | 363LF0000X | 16439 | CA | Primary |
Addresses
Primary practice location
3221 Garfield Ave
Alameda, CA 94501-1713
Mailing address
3221 Garfield Ave
Alameda, CA 94501-1713
Phone (415) 860-4057
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
- Credentials
- Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 632605 | CA | MD | High-Risk Obstetric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1902599582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 GARFIELD AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011713",
"telephone_number": "415-860-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 GARFIELD AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945011713",
"telephone_number": "415-860-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "FNP, MSN, RN, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, High-Risk",
"state": "CA",
"license": "632605",
"primary": false
},
{
"code": "364SW0102X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Women's Health",
"state": "CA",
"license": "2507",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "16439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.