Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shayne Woodworth, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1356173777

Shayne Woodworth, PMHNP-BC is a Nurse Practitioner in Plymouth, Massachusetts. Qualified in 2024, 2 years ago. Practices with Northeast Behavioral Health LLC, a 19-clinician group. Licensed in Massachusetts.

Years since qualifying
2
Licensed in
MA
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

17 Bunnys Rd
Plymouth, MA 02360-5004
Phone: (781) 267-9941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2330806 (MA)

Record details

NPI number1356173777
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateJuly 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northeast Behavioral Health Llc — 19 clinicians
Accepts Medicare assignment Not indicated

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