Jennifer Ann Woodstock, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001002157 Issued in NC

Practice address

1321 N Center St
Hickory, NC 28601-2535

Phone

(828) 322-3898

Fax

(828) 322-5485

NPI assigned

Dec 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foothills Internal Medicine

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1043398209
  NPD (past)

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1992035794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 BEACON RIDGE DR",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286308692",
            "telephone_number": "828-322-3898",
            "fax_number": "828-322-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012535",
            "telephone_number": "828-322-3898",
            "fax_number": "828-322-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSTOCK",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001002157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0010-02157",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Lee Wood, MSN, APRN, FNP-C
• Nancy Billings Wood, LCMHC
• Rebecca Ellen Woodbury
• Billie Jo Woodham, ARNP
• Gary R. Woods Sr., MA
• Helen Page Woodyard, LCSW
• Elizabeth M Wooten, LCSW
• John S. Worm, M.S.W.
• Sandra Joyce Worthington, L.P.A.
• Amber Dawnette Wright, NURSE PRACTITIONER

• Medical Physician Assistant in Hickory, NC
• Providers in Hickory, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.