Stacey Candida Woody, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0028905614 Issued in GA

Practice address

3302 Villa LN
Douglasville, GA 30135

Phone

(678) 646-1468

NPI assigned

Mar 15, 2012

Sex

Female

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

State licenses

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1992070528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 VILLA LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352832",
            "telephone_number": "678-646-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 VILLA LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30135",
            "telephone_number": "678-646-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "STACEY",
        "middle_name": "CANDIDA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0028905614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve J Wodzenski, D.C.
• Evan Wohleb
• Ellen Phillips Womack, RBT
• Mollie Elizabeth Woodard, BS, RBT
• Morine Woodhouse, FNP
• Jessica Rena Wright-Jennings
• Antoinette Dingle Wright
• Abolhassan Yamin, M.D.
• Laura M Yancey, RPH
• Brittany York, PHARMD

• Nurse's Aide in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.