Individual provider Active NPI

Diana Dayl Wooldridge, MHR

  • Addiction (Substance Use Disorder) Counselor
  • Tulsa, OK
National Provider Identifier
1467769851
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
5550 S Garnett Rd Ste 200
5550 S Garnett, Suite 200
Tulsa, OK 74146-6830
Phone
(918) 665-2501
Fax
(918) 665-2501
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X OK
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

5550 S Garnett Rd Ste 200
5550 S Garnett, Suite 200
Tulsa, OK 74146-6830

Mailing address

5550 S Garnett Rd Ste 200
5550 S Garnett, Suite 200
Tulsa, OK 74146-6830
Phone (918) 665-2501

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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1467769851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S GARNETT RD STE 200",
            "address_2": "5550 S GARNETT, SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466830",
            "telephone_number": "918-665-2501",
            "fax_number": "918-665-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S GARNETT RD STE 200",
            "address_2": "5550 S GARNETT, SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466830",
            "telephone_number": "918-665-2501",
            "fax_number": "918-665-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "DIANA",
        "middle_name": "DAYL",
        "name_prefix": "Ms.",
        "credential": "MHR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.