MRS. FELICIA WOODRUFF (NPI# 1902013790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902013790 |
| Entity Type | Individual |
| Full Name | MRS. FELICIA WOODRUFF |
| Practice Address |
303 Randall Dr Jacksonville AR 72076-9276 |
| Practice Telephone | 5012411971 |
| Mailing Telephone | 5012411971 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
303 RANDALL DR |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-9276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528259348 | Natalie Lynn Crump | Day Training/Habilitation Specialist | 3015 Cesery Blvd, Jacksonville, FL 32277-3501 | 2007-08-07 |
| 1346457306 | Shamika N Sparkman | Day Training/Habilitation Specialist | 305 Forest Oak Dr, Jacksonville, AR 72076-3778 | 2007-05-17 |
| 1427167493 | Robin Clemons | Day Training/Habilitation Specialist | 2551 Kohn Rd, Jacksonville, FL 32210-3684 | 2006-08-30 |
| 1679683767 | Dorothy Green | Day Training/Habilitation Specialist | 145 W 40th St, Jacksonville, FL 32206-6441 | 2006-08-30 |
| 1700995792 | Willie Jackson II | Day Training/Habilitation Specialist | 1860 Memory Ln, Jacksonville, FL 32210-1308 | 2006-08-30 |
| 1114036183 | Bernice Lampkin | Day Training/Habilitation Specialist | 10240 Elmhurst Dr, Jacksonville, FL 32218-5417 | 2006-08-30 |
| 1164531125 | Veneranda Tabu | Day Training/Habilitation Specialist | 4047 Corrientes Ct E, Jacksonville, FL 32217-4314 | 2006-08-30 |
| 1093727323 | Rose Byron | Day Training/Habilitation Specialist | 212 W 44th St, Jacksonville, FL 32208-5208 | 2006-08-13 |
| 1720090038 | Tawana Lizzmore | Day Training/Habilitation Specialist | 11405 Quailhollow Dr, Jacksonville, FL 32218-3621 | 2006-08-13 |
| 1104804517 | Angela M Pridgeon | Day Training/Habilitation Specialist | 7026 Vida Ln, Jacksonville, FL 32222-1785 | 2006-01-05 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on MRS. FELICIA WOODRUFF.
| 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.