Active NPI
Amber Danielle Woody
- Occupational Therapist
- Dyersburg, TN
National Provider Identifier
1972831089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4046
- Practice address
- 1900 Parr Ave
Dyersburg, TN 38024-2009 - Phone
- (731) 286-1221
- NPI assigned
- Dec 1, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4046 | TN | Primary |
Addresses
Primary practice location
1900 Parr Ave
Dyersburg, TN 38024-2009
Mailing address
467 Cow LN
Dyersburg, TN 38024-6009
Phone (731) 676-7430
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 |
|---|---|---|---|
| 4046 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1972831089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 COW LN",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380246009",
"telephone_number": "731-676-7430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PARR AVE",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380242009",
"telephone_number": "731-286-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "AMBER",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-01",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "4046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.