Active NPI
Trisha Wooten, FNP
- Family Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1013342310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5006432
- Practice address
- 1021 Morehead Medical Dr
Suite a
Charlotte, NC 28204-2990 - Phone
- (980) 442-2000
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5006432 | NC | Primary |
Addresses
Primary practice location
1021 Morehead Medical Dr
Suite a
Charlotte, NC 28204-2990
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1550 Faulk St
Monroe, NC 28112-5086
Phone (980) 442-0430
Other practice location 2
945 N 5th St
Albemarle, NC 28001-3417
Phone (980) 323-7790
Other practice location 3
4525 Cameron Valley Pkwy
Suite 3500
Charlotte, NC 28211-4369
Phone (704) 302-8300
Other practice location 4
100 Medical Park Dr
Ste 110
Concord, NC 28025-2948
Phone (704) 403-6826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1013342310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MOREHEAD MEDICAL DR",
"address_2": "SUITE A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042990",
"telephone_number": "980-442-2000"
}
],
"practiceLocations": [
{
"address_1": "1550 Faulk St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281125086",
"country_code": "US",
"telephone_number": "980-442-0430",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "945 N 5th St",
"address_purpose": "LOCATION",
"city": "Albemarle",
"state": "NC",
"postal_code": "280013417",
"country_code": "US",
"telephone_number": "980-323-7790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4525 Cameron Valley Pkwy",
"address_2": "Suite 3500",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114369",
"country_code": "US",
"telephone_number": "704-302-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Medical Park Dr",
"address_2": "STE 110",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280252948",
"country_code": "US",
"telephone_number": "704-403-6826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOTEN",
"first_name": "TRISHA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5006432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.