KEITH WOODARD (NPI# 1124213327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124213327 |
| Entity Type | Individual |
| Full Name | KEITH WOODARD |
| Practice Address |
587 E Middle Tpke Manchester CT 06040-3731 |
| Mailing Address |
42 Willowcrest Dr Windsor CT 06095-3859 |
| Practice Telephone | 8606463888 |
| Practice Fax Number | 8606454132 |
| Mailing Telephone | 8604631239 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027982 | Keith A Woodard | Optometrist | 1313 W High St, Bryan, OH 43506-1545 | 2005-07-14 |
| Street Address |
587 E MIDDLE TPKE |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184799330 | Sarah Valente Quirk | Marriage & Family Therapist | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2006-11-22 |
| 1760755250 | Kathleen Bifolck | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2012-02-15 |
| 1205109790 | Iyana Williams | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2012-02-15 |
| 1821361213 | Kelvin Young | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2012-02-15 |
| 1205109691 | Monika Wojtak | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2012-02-15 |
| 1194092049 | Ashley Wilson | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2011-11-21 |
| 1487937686 | Lissette Ruiz | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2011-09-23 |
| 1942583141 | Kerri Sisson | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2011-09-23 |
| 1710260914 | Melina King | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2011-09-23 |
| 1487937116 | James Classon | Counselor | 587 E Middle Tpke, Manchester, CT 06040-3731 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800497 | Meghan N Braley | Counselor | 13 Ancient County Way, Manchester, MA 01944-1247 | 2020-08-07 |
| 1154930600 | Lillian Sarah Pernoud | Counselor | 734 Chancellor Heights Dr, Manchester, MO 63011-3577 | 2020-07-29 |
| 1962026252 | Andrea Rose Mitchell | Counselor | 250 Commercial St Ste 2020, Manchester, NH 03101-1118 | 2020-06-02 |
| 1487115853 | Resilience & Hope LLC | Counselor | 66 Hanover St Ste 200, Manchester, NH 03101-2230 | 2019-03-28 |
| 1710441209 | Karen Ann Fontaine | Counselor | 87 Phelps Rd, Manchester, CT 06042-3209 | 2019-01-29 |
| 1043792427 | The Lodge Counseling | Counselor | 270 Knowlton St, Manchester, NH 03103-2870 | 2018-09-03 |
| 1114440930 | Alisha Nicole Stewart | Counselor | 565 Muddy Gap Rd, Manchester, KY 40962-7279 | 2017-07-24 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1720527450 | Heather Ann Burgess | Counselor | 130 Old Essex Rd, Manchester, MA 01944-1208 | 2017-02-14 |
| 1689113318 | Elizabeth Diaz | Counselor | 510 Wellington Hill Rd, Manchester, NH 03104-6461 | 2017-02-14 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on KEITH WOODARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.