Individual provider Active NPI

Anita Renee Woolford, MSN, NP-C

  • Family Nurse Practitioner
  • Vansant, VA
National Provider Identifier
1972920320
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171554 Issued in VA
Practice address
18765 Riverside Drive
Vansant, VA 24656
Phone
(276) 935-2880
Fax
(276) 935-2889
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PC 239 clinicians

Practice addresses (Care Compare)

4675 Redbud Hwy
Honaker, VA 24260-8004
Phone (276) 991-6950

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Abingdon, VA, CCN 497566
  • Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Russell County Hospital Hospital, Lebanon, VA, CCN 490002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140930002231 VA Practitioner - Nurse Practitioner 0143440800 Reassigns benefits to 1 organization
I20150504002302 TN Practitioner - Nurse Practitioner 0143440800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0024171554VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C-Health PC CurrentSince Nov 2, 2021 Accepting new patients
Holston Medical Group PC CurrentSince Nov 2, 2021 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Mar 18, 2015 Accepting new patients

Locations

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648

495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171554 VA Primary
Family Nurse Practitioner 363LF0000X 19786 TN

Addresses

NPPES NPI Registry

Primary practice location

18765 Riverside Drive
Vansant, VA 24656

Mailing address

PO Box 924
Vansant, VA 24656-0924
Phone (276) 935-2880

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2015.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1972920320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "246560924",
            "telephone_number": "276-935-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18765 RIVERSIDE DRIVE",
            "city": "VANSANT",
            "state": "VA",
            "postal_code": "24656",
            "telephone_number": "276-935-2880",
            "fax_number": "276-935-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLFORD",
        "first_name": "ANITA",
        "middle_name": "RENEE",
        "credential": "MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171554",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vansant, VA

Sources for this page

Verify at the official NPI Registry.