Active NPI
Anthony Clifford Fyffe-Wooten, BSN, RN
- Registered Nurse
- Franklin, OH
National Provider Identifier
1255618971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN-374937
- Practice address
- 142 N Main St
Franklin, OH 45005-1628 - Phone
- (203) 998-6693
- NPI assigned
- Nov 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-374937 | OH | Primary |
Addresses
Primary practice location
142 N Main St
Franklin, OH 45005-1628
Mailing address
92 Wyndemere Dr
Franklin, OH 45005-2465
Phone (937) 985-2761
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-374937 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1255618971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 WYNDEMERE DR",
"city": "FRANKLIN",
"state": "OH",
"postal_code": "450052465",
"telephone_number": "937-985-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 N MAIN ST",
"city": "FRANKLIN",
"state": "OH",
"postal_code": "450051628",
"telephone_number": "203-998-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FYFFE-WOOTEN",
"first_name": "ANTHONY",
"middle_name": "CLIFFORD",
"name_prefix": "Mr.",
"credential": "BSN, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-09",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN-374937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.