Jordan Paige Wood, ATC; LAT; MAT; MS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT9393 Issued in TX

Practice address

300 W Kiest Blvd
Dallas, TX 75224-3402

Phone

(214) 375-7682

NPI assigned

Feb 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1942065370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 MAPLE AVE APT 4103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355537",
            "telephone_number": "901-574-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W KIEST BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243402",
            "telephone_number": "214-375-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JORDAN",
        "middle_name": "PAIGE",
        "credential": "ATC; LAT; MAT; MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT9393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel James Wood, D.O.
• Emily Ann Wood, MD
• Henry H Wood II, D.D.S.
• Jennifer L Wood, NP
• John T. Wood, DDS
• Jordan Paul Wood, AGACNP
• Judy Lee Wood, M.D.
• Marjorie A. Wood, CNS
• Mary Wood, RTT
• Megan Manser Wood, MD

• Athletic Trainer in Dallas, TX
• Providers in Dallas, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.