Individual provider Active NPI

Julie Woodside

  • Physician Assistant
  • Newport, RI
National Provider Identifier
1912435587
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
19 Friendship St Unit 130
Newport, RI 02840-2200
Phone
(401) 845-1474
NPI assigned
May 26, 2017
Last updated
May 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

19 Friendship St Unit 130
Newport, RI 02840-2200

Mailing address

19 Friendship St Unit 130
Newport, RI 02840-2200
Phone (401) 845-1474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20170830002837 RI Practitioner - Physician Assistant 3072886845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of New England, College of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Spring Health Care Management IncGroup PAC ID 4688661127, shared by 14 NPIs, 136 clinicians

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216

3461 S County TRL
201 SCMG Urology
East Greenwich, RI 02818-1463
Phone (401) 788-8780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Physician Assistant CurrentSince Jan 14, 2020 Accepting new patients
Lifespan Physician Group, Inc. Single Specialty CurrentSince Jul 15, 2018 Accepting new patients
Silver Spring Health Care Management, Inc. Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Lifespan Physician Group, Inc. Physician Assistant CurrentSince Jul 15, 2018 Accepting new patients
Silver Spring Health Care Management, Inc. Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Jan 14, 2020 Accepting new patients
Silver Spring Health Care Management, Inc Single Specialty Past Accepting new patients

Locations

3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740

3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850

19 Friendship St
Unit 130
Newport, RI 02840
Phone (401) 845-1474

38 Powel Ave
Newport, RI 02840
Phone (401) 788-8780

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

70 Kenyon Ave
Ste 210
Wakefield, RI 02879
Phone (401) 788-8780

70 Kenyon Ave
Ste 280
Wakefield, RI 02879
Phone (401) 284-1212

120 Centerville Rd
Ste 3
Warwick, RI 02886
Phone (401) 284-1212

120 Centerville Rd
Ste 5
Warwick, RI 02886
Phone (401) 562-1017

268 Post Rd
Westerly, RI 02891
Phone (401) 562-1017

268 Post Rd
Ste 204
Westerly, RI 02891
Phone (401) 788-2110

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1912435587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST UNIT 130",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402200",
            "telephone_number": "401-845-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 FRIENDSHIP ST UNIT 130",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402200",
            "telephone_number": "401-845-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSIDE",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.