KRISTIN WOODBURY D.O.
NPI 1861614067
Otolaryngology - Otolaryngic Allergy in Fairfield, CA

Active since May 03, 2007PECOS Enrolled
1710 PENNSYLVANIA AVE, STE D, FAIRFIELD, CA 94533(707) 432-2000(707) 432-2001 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristin Woodbury D.o. NPPES

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

KRISTIN WOODBURY D.O. (NPI 1861614067) is an individual otolaryngic allergy provider in Fairfield, California, licensed in California (20A 11724) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861614067
Entity TypeIndividualFemale
Primary Taxonomy207YX0602X
Provider Legal NameKRISTIN WOODBURYCredential: D.O.
Location Address1710 PENNSYLVANIA AVE, STE DFairfield, CA 94533-3549
Mailing Address1710 Pennsylvania Ave, Suite DFairfield, CA 94533-3589 · (707) 432-2000 · Fax (707) 432-2001
Fax(707) 432-2001
Sole ProprietorNo
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 21, 2016
NPI 1861614067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngic AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0602X
License Licensed in CA · 20A 11724
Definition

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License OS015105 (PA)
1710 PENNSYLVANIA AVE, Fairfield, CA 94533

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristin Woodbury D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

Otolaryngology
1710 PENNSYLVANIA AVE, SUITE D
FAIRFIELD, CA 94533
Optometrist
1710 PENNSYLVANIA AVE, SUITE B
FAIRFIELD, CA 94533
Optometrist
1710 PENNSYLVANIA AVE, SUITE B
FAIRFIELD, CA 94533
Home Health
1710 PENNSYLVANIA AVE, SUITE E
FAIRFIELD, CA 94533
Ophthalmology
1710 PENNSYLVANIA AVE, STE B
FAIRFIELD, CA 94533

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 Kristin Woodbury's NPI number?

The NPI number for Kristin Woodbury is 1861614067. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Kristin Woodbury located?

Kristin Woodbury practices at 1710 Pennsylvania Ave Ste D, Fairfield, CA 94533. The listed phone number is (707) 432-2000.

What is Kristin Woodbury's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.

Is Kristin Woodbury enrolled in Medicare?

Yes. Kristin Woodbury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Woodbury was last updated on July 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.