MS. MYUNG SOON WOO-RODERICK NURSE PRACTITIONER
NPI 1205987773
Nurse Practitioner - Family in Jamaica Plain, MA

Active since January 13, 2007
170 MORTON ST, JAMAICA PLAIN, MA 02130(617) 522-8110(617) 971-3852 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Myung Soon Woo-roderick Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MYUNG SOON WOO-RODERICK NURSE PRACTITIONER (NPI 1205987773) is an individual family provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (181296) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1205987773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MYUNG SOON WOO-RODERICKCredential: NURSE PRACTITIONER
Location Address170 MORTON STJamaica Plain, MA 02130-3735
Mailing Address170 Morton StJamaica Plain, MA 02130-3735 · (617) 971-3246
Fax(617) 971-3852
Sole ProprietorNo
Enumeration DateJanuary 13, 2007
Last NPPES UpdateFebruary 11, 2016
NPI 1205987773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · 181296
170 MORTON ST, Jamaica Plain, MA 02130

Other Identifiers 1

Medicare UPIN1100513MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
170 MORTON ST
BOSTON, MA 02130
Case Manager/Care Coordinator
170 MORTON ST
JAMAICA PLAIN, MA 02130
Social Worker (Clinical)
170 MORTON ST
BOSTON, MA 02130
Psychiatry & Neurology (Psychiatry)
170 MORTON ST
JAMAICA PLAIN, MA 02130
Counselor
170 MORTON ST
JAMAICA PLAIN, MA 02130
Audiologist
170 MORTON ST
JAMAICA PLAIN, MA 02130
General Acute Care Hospital
170 MORTON ST
JAMAICA PLAIN, MA 02130
Registered Nurse
170 MORTON ST
BOSTON, MA 02130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myung Soon Woo-roderick's NPI number?

The NPI number for Myung Soon Woo-roderick is 1205987773. It was assigned to this individual provider in the NPPES registry on January 13, 2007.

Where is Myung Soon Woo-roderick located?

Myung Soon Woo-roderick practices at 170 Morton St, Jamaica Plain, MA 02130. The listed phone number is (617) 522-8110.

What is Myung Soon Woo-roderick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Myung Soon Woo-roderick was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.