BETH E WODRICH (NPI# 1245241629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245241629 |
| Entity Type | Individual |
| Full Name | BETH E WODRICH |
| Credential | NP |
| Practice Address |
8325 City Centre Dr Woodbury MN 55125-3605 |
| Mailing Address |
2025 Sloan Pl Ste 35 Saint Paul MN 55117-2092 |
| Practice Telephone | 6517310859 |
| Practice Fax Number | 6517310976 |
| Mailing Telephone | 6517721572 |
| Mailing Fax Number | 6517721889 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP0984 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 630318800 | 05 |
| Street Address |
8325 CITY CENTRE DR |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939564 | Thomas E Jones | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2005-08-15 |
| 1407318553 | Oluseyi O Fashusi | Physician Assistant | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2019-04-05 |
| 1093243941 | Jessica Ruth Taylor | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2017-05-23 |
| 1467989749 | Michael S Butler | Physician Assistant | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2017-05-17 |
| 1689051765 | Charles Thomas Pokora | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2015-04-28 |
| 1982884615 | Family Healthservices Minnesota, P.a. | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-11-09 |
| 1396962403 | Minnhealth Family Physicians, P.a. | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-04-19 |
| 1568503795 | Family Healthservices Minnesota, P.a | Non-Pharmacy Dispensing Site | 8325 City Centre Dr, Woodbury, MN 55125-3323 | 2007-02-09 |
| 1225049315 | William K Drehmel | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3605 | 2006-08-11 |
| 1184635260 | Robert V Drehmel | Family Medicine | 8325 City Centre Dr, Woodbury, MN 55125-3605 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913255 | Shrena H Travis | Nurse Practitioner | 126 Lester St, Woodbury, TN 37190-1416 | 2020-05-08 |
| 1407401466 | Linda Lor | Nurse Practitioner | 1795 Radio Dr Ste D, Woodbury, MN 55125-9457 | 2019-08-07 |
| 1518429273 | Jennifer L Ergang | Nurse Practitioner | 3405 Hartford Rd, Woodbury, MN 55125-3734 | 2019-04-02 |
| 1629536651 | Shamim A Lalani | Nurse Practitioner | 9 Sparrow Ln, Woodbury, NY 11797-3206 | 2019-03-08 |
| 1336595800 | Brian Joseph Portanova | Nurse Practitioner | 45 Euclid St Ste 200, Woodbury, NJ 08096-4631 | 2016-05-13 |
| 1184070591 | Grace Oghenekaro Oyefesobi | Nurse Practitioner | 8468 Tamarack Village, Cvs Minute Clinic, Woodbury, MN 55125 | 2016-05-04 |
| 1770844110 | Community Wellness Clinic Inc. | Nurse Practitioner | 322 S Mccrary St, Woodbury, TN 37190-1441 | 2012-06-01 |
| 1003112277 | Tabitha M Smith | Nurse Practitioner | 89 Mears Drive, Woodbury, TN 37190-1441 | 2011-02-04 |
| 1023240041 | Heidi Lee Brown | Nurse Practitioner | 7650 Currell Blvd Ste 330, Woodbury, MN 55125-8209 | 2009-08-11 |
| 1144273061 | Paula Todd | Nurse Practitioner | 530 W Adams St, Woodbury, TN 37190-1622 | 2006-05-19 |
| Find all providers in WOODBURY | ||||
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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.