Clayton Minor Woodard

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3201 E 146TH PL S
Bixby, OK 74008-8045

Phone

(405) 371-5204

NPI assigned

Dec 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1982473328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 E 146TH PL S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740088045",
            "telephone_number": "405-371-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 E 146TH PL S",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740088045",
            "telephone_number": "405-371-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "CLAYTON",
        "middle_name": "MINOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly White, CNP
• Shanon Williams-Walker
• Terri Evalene Williamson, DPH
• Judith D Wilson, RN
• Monica Jane Winford, APRN, NP- C
• Jonathan David Ybarra
• Christy Lynn Zahn, M.S., CCC-SLP

• Peer Specialist in Bixby, OK
• Providers in Bixby, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.