Active NPI
Martha A Wooten, ACA, MA
- Hearing Instrument Specialist
- Baltimore, MD
National Provider Identifier
1275690786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 01883
- Practice address
- 7544 Holabird Ave
Baltimore, MD 21222-2104 - Phone
- (410) 284-2889
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 01883 | MD | Primary |
Addresses
Primary practice location
7544 Holabird Ave
Baltimore, MD 21222-2104
Mailing address
7544 Holabird Ave
Baltimore, MD 21222-2104
Phone (410) 284-2889
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L265 | Other | MD | BLUE CROSS BLUE SHIELD |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01883 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275690786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7544 HOLABIRD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212222104",
"telephone_number": "410-284-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7544 HOLABIRD AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212222104",
"telephone_number": "410-284-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "MARTHA",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "ACA, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MD",
"license": "01883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "L265",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.