DR. KELLY DEMETRIUS WOODS (NPI# 1730101197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730101197 |
| Entity Type | Individual |
| Full Name | DR. KELLY DEMETRIUS WOODS |
| Credential | PHD |
| Practice Address |
400 Veterans Ave (116b) Biloxi MS 39531-2410 |
| Mailing Address |
8120 Martin Bluff Rd Gautier MS 39553-2215 |
| Practice Telephone | 2285234734 |
| Practice Fax Number | 2285234754 |
| Mailing Telephone | 2284979341 |
| Mailing Fax Number | 2285234754 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
36 653 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052310 | Kelly Woods | Marriage & Family Therapist | 2230 Washington Ave, Waco, TX 76701-1019 | 2017-06-10 |
| 1154749885 | Kelly Ryan Woods | Counselor | 1015 4th Ave W Ste H, Olympia, WA 98502-5492 | 2014-03-31 |
| 1235133729 | Kelly Ann Woods | Nurse Practitioner | 1900 Centracare Cir #1300, Centracare Clinic - Women's & Childrens, St Cloud, MN 56303-5000 | 2005-06-13 |
| 1740765551 | Kelly Thorne Woods | Counselor | 4542 Bonney Rd Ste B, Virginia Beach, VA 23462-3867 | 2018-09-27 |
| 1285178368 | Kelly Lyman Woods | Counselor | 2480 Red Cliffs Dr, St George, UT 84790-5457 | 2016-12-08 |
| 1528473287 | Kelly A Woods | Nurse Practitioner | 5000 Brittonfield Pkwy Ste A100, East Syracuse, NY 13057-9227 | 2014-06-21 |
| 1699031310 | Kelly L Woods | Occupational Therapy Assistant | 1350 Centennial Ave, Utica, NE 68456-6094 | 2012-04-06 |
| 1073559753 | Kelly W Woods | Emergency Medicine | 3441 Dickerson Pike, Nashville, TN 37207-2539 | 2006-06-21 |
| Street Address |
400 VETERANS AVE (116B) |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417946864 | Cynthia Helwig | Nurse Practitioner | 400 Veterans Ave, Gulf Coast Va Medical Center-mental Health, Biloxi, MS 39531-2410 | 2005-10-18 |
| 1568060234 | Janet Sue Rush-pugh | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-10-14 |
| 1801494109 | Destin Parsley | Recreation Therapist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-10-09 |
| 1124630694 | Jenna Sewell | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-08-17 |
| 1144838251 | Michael David Prazak Jr. | Psychologist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-07-15 |
| 1790302891 | Robert John Swanson IIi | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-07-06 |
| 1750905105 | Gina Pierce Holloway | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-06-02 |
| 1578187068 | Elizabeth Gwin Koestler | Pharmacist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-06-01 |
| 1477176642 | Stephanie Leah Hall | Registered Nurse | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-05-22 |
| 1841819471 | Tonya Katina Fountain-adams | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861826927 | Andy Tseng | Psychologist | 400 Veterans Ave (116b), Va Gulf Coast Health Care System, Biloxi, MS 39531 | 2013-08-26 |
| 1629238365 | Joni D Renbarger | Psychologist | 6245 Roxanne Way, Biloxi, MS 39532-4539 | 2008-06-16 |
| 1558490003 | The Counseling Center | Psychologist | 2643 Executive Pl, Biloxi, MS 39531-3718 | 2007-03-02 |
| 1467565549 | Julie Dawn Teater | Psychologist | 1907 Pass Rd, Suite G, Biloxi, MS 39531-4101 | 2006-08-16 |
| 1912558982 | Alyssa Anne Greineisen | Psychologist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-09-21 |
| 1053770487 | Stacy Leigh Parkin | Psychologist | 400 Veterans Ave, Psychology (116b), Biloxi, MS 39531-2410 | 2016-02-13 |
| 1356759674 | Shelia Robinett | Psychologist | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2014-07-30 |
| 1275944944 | Kyle Bewsey | Psychologist | 400 Veterans Ave, Psychology Service (116b), Biloxi, MS 39531-2410 | 2014-05-15 |
| 1639450810 | Daniel J Vujnovich Pllc | Psychologist | 2486 Pass Rd, Biloxi, MS 39531-2838 | 2011-09-01 |
| 1407151665 | Kara Elizabeth Vick | Psychologist | 400 Veterans Ave, 116b, Biloxi, MS 39531-2410 | 2011-01-20 |
| Find all providers in BILOXI | ||||
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| 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.