Active NPI
Dorshea Woodfork, LPN
- Licensed Practical Nurse
- Clinton, IA
National Provider Identifier
1962006452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- P63977
- Practice address
- 518 8TH Ave S
Clinton, IA 52732-5610 - Phone
- (563) 219-2864
- NPI assigned
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P63977 | IA | Primary |
Addresses
Primary practice location
518 8TH Ave S
Clinton, IA 52732-5610
Mailing address
518 8TH Ave S
Clinton, IA 52732-5610
Phone (563) 219-2864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85-4029920 | Other | IA | HOMECARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dwoodfork@live.eicc.edi | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P63977 | IA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comfort Care at Home LLC | Licensed Practical Nurse | Current | Accepting new patients |
Organizations & group practices 1
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": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1962006452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 8TH AVE S",
"city": "CLINTON",
"state": "IA",
"postal_code": "527325610",
"telephone_number": "563-219-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 8TH AVE S",
"city": "CLINTON",
"state": "IA",
"postal_code": "527325610",
"telephone_number": "563-219-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODFORK",
"first_name": "DORSHEA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "IA",
"license": "P63977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMECARE",
"identifier": "85-4029920",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dwoodfork@live.eicc.edi",
"affiliation": "N",
"endpointDescription": "Dwoodfork@live.eicc.edu",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "518 8th Ave S",
"city": "Clinton",
"state": "IA",
"country_code": "US",
"postal_code": "527325610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.