Nicole K Wooten, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004435 Issued in MD

Practice address

1500 Forest Glen Rd
Silver Spring, MD 20910-1483

Phone

(301) 754-7991

Fax

(301) 754-7990

NPI assigned

Jun 16, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Silver Spring Emergency Physicians, P.C.

  • Emergency Medicine Physician
  • Silver Spring, MD
  • NPI 1386691442
  NPD
• Capital Internal Medicine,LLC

  • Hospitalist Physician
  • Silver Spring, MD
  • NPI 1962453720
  NPD (past)

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1124313366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83819",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208833819",
            "telephone_number": "301-754-7991",
            "fax_number": "301-754-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101483",
            "telephone_number": "301-754-7991",
            "fax_number": "301-754-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "NICOLE",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Woods, CRNP-PMH, APRN/PMH
• Timiza Woods, LISW
• Alexandra Woodward, M.S., CCC-SLP
• Kyrsten Woody
• Marianne O Woody, CRNP
• Patricia Wora Anda
• Dereje Woreta, MD
• Fikadu Weldesenebet Woreta
• Birhanu E Workie
• Labone Workman, LGSW

• Medical Physician Assistant in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.