Individual provider Active NPI

Tramesha Alena Wooten

  • Case Manager/Care Coordinator
  • San Diego, CA
National Provider Identifier
1396390712
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
5755 Oberlin Dr Ste 300
San Diego, CA 92121-4717
Phone
(800) 249-1266
NPI assigned
Aug 2, 2019
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

5755 Oberlin Dr Ste 300
San Diego, CA 92121-4717

Mailing address

4930 Naples St
San Diego, CA 92110-3820
Phone (619) 276-1176

Other practice location 1

4930 Naples St
San Diego, CA 92110-3820
Phone (619) 276-1176

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

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1396390712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 NAPLES ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103820",
            "telephone_number": "619-276-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214717",
            "telephone_number": "800-249-1266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4930 Naples St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921103820",
            "country_code": "US",
            "telephone_number": "619-276-1176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "TRAMESHA",
        "middle_name": "ALENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.