Active NPI
Sara Douthett Wood, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
National Provider Identifier
1942460464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 631754
- Practice address
- 9055 Katy Fwy
Suite 306
Houston, TX 77024-1624 - Phone
- (713) 464-9999
- Fax
- (713) 490-5424
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 631754 | TX | Primary |
Addresses
Primary practice location
9055 Katy Fwy
Suite 306
Houston, TX 77024-1624
Mailing address
10718 Opal Ridge Dr
Houston, TX 77095-4682
Phone (281) 256-0679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8L7339 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 631754 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1942460464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10718 OPAL RIDGE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770954682",
"telephone_number": "281-256-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9055 KATY FWY",
"address_2": "SUITE 306",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241624",
"telephone_number": "713-464-9999",
"fax_number": "713-490-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "SARA",
"middle_name": "DOUTHETT",
"name_prefix": "Mrs.",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "631754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8L7339",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.