Amber Wooten, FNP-BC
Individual provider Active NPI Family Medicine Physician · Estill Springs, TN
NPI 1346010030 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1346010030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2023191992 (TN)
- Practice address
- 300 S Main St
Estill Springs, TN 37330-4042 - Phone
- (615) 612-9397
- NPI assigned
- Jan 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Vital Care Clinic of Estill Springs
Practice addresses (Care Compare)
300 S Main St
Estill Springs, TN 37330-4042
Phone (931) 649-5822
Hospital & facility affiliations
- Southern Tennessee Regional Health System Winchest
- Vanderbilt Tullahoma-Harton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240628002383 | TN | Practitioner - Nurse Practitioner | 9234673450 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023191992 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Care Clinic of Estill Springs | Family Medicine | Current |
Accepting new patients |
Locations
300 S Main St
Estill Springs, TN 37330
Phone (931) 649-5139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2023191992 | TN | Yes |
Addresses
Primary practice location
300 S Main St
Estill Springs, TN 37330-4042
Mailing address
PO Box 85
Estill Springs, TN 37330-0085
Phone (615) 612-9397
Other providers in Estill Springs, TN
- Teri L Gallagher
- Up2U Telecare, LLC.
- Linsey Noel Vanover
- Vital Care Clinic of Estill Springs
- Kendra Womack
All providers in Estill Springs, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.