Individual provider Active NPI

Tammy Smith Woods, LPN

  • Licensed Practical Nurse
  • Jacksonville, FL
National Provider Identifier
1992265185
Registry record updated Nov 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
5183210 Issued in FL
Practice address
5959 Fort Caroline Rd Apt 1702
Jacksonville, FL 32277-1842
Phone
(904) 322-4351
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 5183210 FL Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X
Adult Companion 372600000X

Addresses

Primary practice location

5959 Fort Caroline Rd Apt 1702
Jacksonville, FL 32277-1842

Mailing address

5959 Fort Caroline Rd Apt 1702
Jacksonville, FL 32277-1842
Phone (904) 233-0394

Other identifiers 1

IdentifierTypeStateIssuer
5183210OtherFLLPN

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

LicenseStateTypeSpecialty
5183210FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Utopian Solutions LLC Licensed Practical Nurse CurrentSince Nov 28, 2021 Accepting new patients
Utopian Lab Solutions LLC. CurrentSince Dec 12, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1992265185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 FORT CAROLINE RD APT 1702",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771842",
            "telephone_number": "904-233-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 FORT CAROLINE RD APT 1702",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771842",
            "telephone_number": "904-322-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH WOODS",
        "first_name": "TAMMY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "5183210",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "5183210",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; 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.