Individual provider Active NPI

Caroline Ryan Woodruff

  • Family Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1942014402
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1190107 Issued in TX
Practice address
3400 Long Prairie Rd Ste 200
Flower Mound, TX 75022-2953
Phone
(972) 899-6300
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1190107 TX Primary

Addresses

Primary practice location

3400 Long Prairie Rd Ste 200
Flower Mound, TX 75022-2953

Mailing address

3400 Long Prairie Rd Ste 200
Flower Mound, TX 75022-2953
Phone (972) 899-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250222000088 TX Practitioner - Nurse Practitioner 8426578337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridlewood Family Healthcare, P.a.Group PAC ID 9234110164, 7 clinicians

Practice addresses (Care Compare)

3400 Long Prairie Rd
Suite 200
Flower Mound, TX 75022-2953
Phone (972) 899-6300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1190107TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridlewood Family Healthcare, P.a. CurrentSince Mar 1, 2025 Accepting new patients
Yan Li, MD., PHD., P.a. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1942014402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LONG PRAIRIE RD STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222953",
            "telephone_number": "972-899-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LONG PRAIRIE RD STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750222953",
            "telephone_number": "972-899-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "CAROLINE",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1190107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.