Individual provider Active NPI

Timothy Daniel Woodward, FNP-BC

  • Nurse Practitioner
  • Sylva, NC
National Provider Identifier
1932975760
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
311130 Issued in NC
Practice address
176 Walmart PLZ
Sylva, NC 28779-5808
Phone
(828) 631-9462
Fax
(828) 631-9938
NPI assigned
Dec 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 311130 NC Primary

Addresses

Primary practice location

176 Walmart PLZ
Sylva, NC 28779-5808

Mailing address

PO Box 942
Dillsboro, NC 28725-0942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240612003385 TX Practitioner - Nurse Practitioner 6406398825 Reassigns benefits to 1 organization
I20240910004705 NC Practitioner - Nurse Practitioner 6406398825 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311130NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Apr 22, 2024 Accepting new patients
Cherokee Indian Hospital Authority CurrentSince Apr 22, 2024 Accepting new patients
Cherokee Indian Hospital Authority Current Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Dec 1, 2024 Accepting new patients
DLP Harris Regional Hospital LLC Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients
Haywood Women'S Medical Center, PA Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

176 Walmart Plz
Sylva, NC 28779
Phone (828) 631-8282

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: timothy.woodward.1@9865.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1932975760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "DILLSBORO",
            "state": "NC",
            "postal_code": "287250942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WALMART PLZ",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795808",
            "telephone_number": "828-631-9462",
            "fax_number": "828-631-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "TIMOTHY",
        "middle_name": "DANIEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "311130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.