DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KEIDRA DENAE WOODSON

MEDICARE: KEIDRA DENAE WOODSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2225X00000XOccupational Therapist18388NC

General Provider Information

NPI Number : 1588363675
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEIDRA DENAE WOODSON
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 701 FOREST POINT CIR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-6629
Country : US
Telephone Number : 980-375-6801
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2023
Last Update Date : 04/14/2026

Similar Medicare Providers

1265078281 — PRENTISS SMITH YARBOROUGH MS, BCBA
Practice Location Address:
701 FOREST POINT CIR
CHARLOTTE, NC
28273-6629
Practice Phone: 980-375-6801
Practice Fax: 317-520-8200
1942572748 — ALEXANDRA NICHOLE BAKER
Practice Location Address:
701 FOREST POINT CIR
CHARLOTTE, NC
28273-6629
Practice Phone: 980-375-6801
Practice Fax: 317-520-8200
1649651068 — JESSICA ANDINO
Practice Location Address:
701 FOREST POINT CIR
CHARLOTTE, NC
28273-6629
Practice Phone: 980-375-6801
Practice Fax: 317-520-8200
1962919167 — KATIE VONDERSAAR OTR
Practice Location Address:
701 FOREST POINT CIR
CHARLOTTE, NC
28273-6629
Practice Phone: 980-375-6801
Practice Fax: 317-520-8200
1487120911 — BARBARA NAVAS
Practice Location Address:
701 FOREST POINT CIR
CHARLOTTE, NC
28273-6629
Practice Phone: 980-375-6801
Practice Fax: 317-520-8200
1346706116 — RACHEL ANN SCHULTZ MS, BCBA, LBA
Practice Location Address:
701 FOREST POINT CIR
CHARLOTTE, NC
28273-6629
Practice Phone: 980-375-6801
Practice Fax: 317-520-8200

Directions to “ KEIDRA DENAE WOODSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.