Active NPI
Kayla Jo Woods
- Gerontology Nurse Practitioner
- Sunbury, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP029419
- Practice address
- 901 Court St
Sunbury, PA 17801-2853 - Phone
- (570) 286-7121
- NPI assigned
- Mar 7, 2024
- Last updated
- Mar 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP029419 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Wound Care of Pennsylvania LLC | Current | Accepting new patients | |
| Mana Health Partners PLLC | Current | 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.
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1326857046
-
- Internal Medicine Physician
- Wyncote, PA
- NPI 1194442640
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.