Individual provider Active NPI

Kayla Jo Woods

  • Gerontology Nurse Practitioner
  • Sunbury, PA
National Provider Identifier
1932967650
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP029419 Issued in PA
Practice address
901 Court St
Sunbury, PA 17801-2853
Phone
(570) 286-7121
NPI assigned
Mar 7, 2024
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP029419 PA Primary

Addresses

Primary practice location

901 Court St
Sunbury, PA 17801-2853

Mailing address

494 5TH St
Northumberland, PA 17857-1142
Phone (570) 916-2237

Other practice location 1

1481 McDonald Ave
Brooklyn, NY 11230-4667
Phone (929) 491-7700

Other practice location 2

1008 Thompson St
Jersey Shore, PA 17740-1729
Phone (570) 398-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240424001715 PA Practitioner - Nurse Practitioner 7113367111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners PLLCGroup PAC ID 4789104589, 3 clinicians

Practice addresses (Care Compare)

3430 Huntingdon Pike
Huntingdon Valley, PA 19006-3716
Phone (215) 938-7171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP029419PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wound Care of Pennsylvania LLC CurrentSince Apr 17, 2024 Accepting new patients
Mana Health Partners PLLC CurrentSince May 1, 2025 Accepting new patients

Locations

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

3430 Huntingdon Pike
Huntingdon Vy, PA 19006
Phone (215) 938-7171

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

901 Court St
Sunbury, PA 17801
Phone (570) 286-7121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1932967650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 5TH ST",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178571142",
            "telephone_number": "570-916-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 COURT ST",
            "city": "SUNBURY",
            "state": "PA",
            "postal_code": "178012853",
            "telephone_number": "570-286-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1481 McDonald Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112304667",
            "country_code": "US",
            "telephone_number": "929-491-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Thompson St",
            "address_purpose": "LOCATION",
            "city": "Jersey Shore",
            "state": "PA",
            "postal_code": "177401729",
            "country_code": "US",
            "telephone_number": "570-398-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KAYLA",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP029419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunbury, PA

Sources for this page

Verify at the official NPI Registry.