DR. JODY LYNN WOODWARD (NPI# 1780673186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780673186 |
| Entity Type | Individual |
| Full Name | DR. JODY LYNN WOODWARD |
| Credential | PH.D. |
| Practice Address |
14561 N Outer 40 Rd Ste 250 Chesterfield MO 63017-5703 |
| Mailing Address |
1976 Pickfair Dr Saint Louis MO 63146-3628 |
| Practice Telephone | 6362889631 |
| Practice Fax Number | 8778428918 |
| Mailing Telephone | 6362889631 |
| Mailing Fax Number | 8778428918 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2005005795 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 497215111 | 05 | |
| MO | MAGELLAN | 797676000 | 01 |
| MO | BCBS MISSOURI | 197560 | 01 |
| Street Address |
14561 N OUTER 40 RD STE 250 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270599 | Kimberly Wise | Registered Nurse | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 | 2020-09-16 |
| 1902422975 | Mackenzie Schneider | Licensed Practical Nurse | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 | 2020-06-24 |
| 1043842735 | Papilio, LLC | Physical Medicine & Rehabilitation | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 | 2020-02-10 |
| 1902389802 | Lindsey Viefhaus | Nurse Practitioner | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 | 2018-09-07 |
| 1396133963 | Heather Schiek | Physical Therapist | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 | 2015-01-05 |
| 1104182831 | Spencer A Cotterell | Physical Medicine & Rehabilitation | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 | 2012-04-06 |
| 1972736312 | Helping Physicians LLC | Internal Medicine | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 | 2009-09-02 |
| 1285695817 | Rodney Rollins Thorley | Physical Medicine & Rehabilitation | 14561 N Outer 40 Rd, Chesterfield, MO 63017 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| 1851639207 | Jennifer Fuentes Perez | Psychologist | 207 Commerce Drive, Chesterfield, SC 29709 | 2013-01-18 |
| 1508066408 | Mary Sciotto | Psychologist | 10106 Krause Rd Ste 105, Chesterfield, VA 23832-6572 | 2007-07-19 |
| 1679793897 | Glinda Mae Sullivan | Psychologist | 106 4 Seasons Ctr, Suite 106c, Chesterfield, MO 63017-3173 | 2007-04-27 |
| 1922166420 | Kelly Joyce Britt | Psychologist | 10109 Krause Rd., Suite 100, Chesterfield, VA 23838 | 2006-12-05 |
| 1689764318 | Shannon Davis | Psychologist | 17034 Chesterfield Estates Ct, Chesterfield, MO 63005-4471 | 2006-10-13 |
| 1831202423 | Mary E Bane | Psychologist | 1585 Woodlake Drive, Suite 115, Chesterfield, MO 63017 | 2006-08-16 |
| 1356360036 | Robert Andrew Gillespie | Psychologist | 14561 N Outer 40, Chesterfield, MO 63017-5703 | 2006-07-19 |
| 1326692344 | Lottie Ampy | Psychologist | 9846 Lori Rd Ste 201, Chesterfield, VA 23832-6695 | 2019-07-29 |
| 1164902201 | Madalyn R Schneider | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-08-17 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on DR. JODY LYNN WOODWARD.
| 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.