MRS. CHANETTA LASHAN WOODHAM (CRNP) – Family Nurse Practitioner, NPI 1619264520

Family Nurse Practitioner

MRS. CHANETTA LASHAN WOODHAM (CRNP) is a healthcare provider. based in Dothan, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-098137 (AL). The NPI Number for MRS. CHANETTA LASHAN WOODHAM (CRNP) is 1619264520

Main info

Female

16 Years Of Experience

Accepts Medicare Assignment

Name

MRS. CHANETTA LASHAN WOODHAM (CRNP)

NPI

1619264520

Phone

(334) 714-3302

Address

1121 S BRANNON STAND RD

Enumeration Date

30 June 2011

Last Update Date

4 December 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3347933319

Graduation Year

2010 (16 years ago)

PAC ID

0042482861

Group Practice PAC ID

5991746661

Professional Enrollment ID

I20111020000114

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience42

Completeness75

Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for MRS. CHANETTA LASHAN WOODHAM (CRNP)

1121 S BRANNON STAND RD
DOTHAN, AL 363057367
Phone: (334) 714-3302
Type: Mailing
207 HAVEN DR
DOTHAN, AL 363012919
Phone: (334) 793-3319
Fax: (334) 793-2291
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5991746661View full group profile

Name	Specialty	State
ELIZABETH ANN MCFARLAND (CRNP)	Nurse Practitioner	AL
DR. OLAWALE MAYOKUN OSUNSANYA (M.D.)	Internal Medicine, Nephrology	AL
MRS. JENNIFER SMITH KIRK (CRNP)	Nurse Practitioner	AL
MRS. STEFANIE L. KINCEY (CRNP)	Nurse Practitioner	AL
NIKKI ILONA BROUSSARD (CRNP)	Nurse Practitioner	AL
DR. VENKAT R NIMMAGADDA (M.D.)	Internal Medicine, Nephrology	AL
RAVINDRANATH V. KANTAMNENI (M.D.)	N E P H R O L O G Y	AL
DR. NOWOGHOMWENMA CHARLES IBIE (MD)	Internal Medicine, Emergency Medicine	AL
DR. GREGORY MATTHEW WELLS (M.D.)	Neurology, Internal Medicine	AL
DR. GANJUR H GURU-PRAKASH (M.D.)	-	AL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. CHANETTA LASHAN WOODHAM (CRNP)?

MRS. CHANETTA LASHAN WOODHAM (CRNP) — NPI 1619264520 — is the standard way to identify this listing.

Is MRS. CHANETTA LASHAN WOODHAM (CRNP) listed as active for patients and plans?

The listing shows MRS. CHANETTA LASHAN WOODHAM (CRNP) as active in the NPI system.

What taxonomy line describes MRS. CHANETTA LASHAN WOODHAM (CRNP)?

For research purposes, treat MRS. CHANETTA LASHAN WOODHAM (CRNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.

What area does MRS. CHANETTA LASHAN WOODHAM (CRNP) serve?

MRS. CHANETTA LASHAN WOODHAM (CRNP)'s listing highlights Dothan, Alabama; more addresses can appear in NPPES.

How many locations tie to this NPI?

2 practice locations appear in the available data.