Individual provider Active NPI

Dale Shirley Woods, SPHN

  • Registered Nurse
  • Johnstown, NY
National Provider Identifier
1972748408
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
22-285918 Issued in NY
Practice address
2714 State Highway 29
Johnstown, NY 12095-4041
Phone
(518) 736-5720
Fax
(518) 762-1382
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22-285918 NY Primary

Addresses

Primary practice location

2714 State Highway 29
Johnstown, NY 12095-4041

Mailing address

258 Seeley Rd
Stratford, NY 13470-2308
Phone (315) 429-3486

Other names 1

  • Dale Shirley Ecker Former name

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

LicenseStateTypeSpecialty
22-285918NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1972748408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 SEELEY RD",
            "city": "STRATFORD",
            "state": "NY",
            "postal_code": "134702308",
            "telephone_number": "315-429-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 STATE HIGHWAY 29",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120954041",
            "telephone_number": "518-736-5720",
            "fax_number": "518-762-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "DALE",
        "middle_name": "SHIRLEY",
        "credential": "SPHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22-285918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALE",
            "last_name": "ECKER",
            "middle_name": "SHIRLEY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.