Destinie Marie Woolridge

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

008098 Issued in OH

Practice address

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347

Phone

(888) 531-2204

NPI assigned

Apr 1, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1013657360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2484 US HIGHWAY 62",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979517",
            "telephone_number": "937-374-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 SHERRILL BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323347",
            "telephone_number": "888-531-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLRIDGE",
        "first_name": "DESTINIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "008098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nethealth",
            "affiliation": "N",
            "endpointDescription": "Therapy billing and patient portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10133 Sherrill Blvd Ste 200",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379323347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emma Grace Woody
• Darryl Wooldridge
• Paul Douglas Wooldridge, M.D.
• William Henry Wooldridge, M.D.
• Krystal Trenchfield Woolman, PA-C
• B. David Wooten, MD
• Michael Dean Wooten, D.D.S.
• Ruth Wooten, RD, LDN, CNSC
• Zechariah Wooten
• Ronnie Scott Word, D.D.S.

• All providers in Knoxville, TN
• Occupational Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.