Provider Demographics
NPI:1841259272
Name:WOODS, REGINA LYNN (APRN)
Entity type:Individual
Prefix:MS
First Name:REGINA
Middle Name:LYNN
Last Name:WOODS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:REGINA
Other - Middle Name:LYNN
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 1080
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-1080
Mailing Address - Country:US
Mailing Address - Phone:270-858-6655
Mailing Address - Fax:270-858-4607
Practice Address - Street 1:119 HEREFORD CURVE ROAD
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:KY
Practice Address - Zip Code:42629
Practice Address - Country:US
Practice Address - Phone:270-343-2551
Practice Address - Fax:606-679-4782
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3530P363LP0808X
KY3003530363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78009479Medicaid
KY500028784OtherRAILROAD MEDICARE
KYCK5471OtherRAILROAD MEDICARE
11480669OtherCAQH