Active NPI
Andrea Woods, HLP
- Specialist
- Indianapolis, IN
National Provider Identifier
1942821467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3919 Lafayette Rd
Indianapolis, IN 46254-2531 - Phone
- (317) 384-9181
- NPI assigned
- May 6, 2020
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | IN | Primary |
Addresses
Primary practice location
3919 Lafayette Rd
Indianapolis, IN 46254-2531
Mailing address
3044 N Sherman Dr
Indianapolis, IN 46218-2100
Phone (317) 384-9181
Other practice location 1
3044 N Sherman Dr
Indianapolis, IN 46218-2100
Phone (317) 384-9181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Medicaid | IN |
Other names 1
- Captain Smash
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | smashhouse317@gmail.com |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1942821467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3044 N SHERMAN DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462182100",
"telephone_number": "317-384-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 LAFAYETTE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462542531",
"telephone_number": "317-384-9181"
}
],
"practiceLocations": [
{
"address_1": "3044 N Sherman Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462182100",
"country_code": "US",
"telephone_number": "317-384-9181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODS",
"first_name": "ANDREA",
"credential": "HLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "smashhouse317@gmail.com",
"affiliation": "N",
"endpointDescription": "Hair Loss Practitioner Clinic",
"address_1": "3919 Lafayette Rd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462542531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CAPTAIN",
"last_name": "SMASH",
"credential": "HAIRLOSSPRACTITIONER",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.