Individual provider Active NPI

Ashley Jill Wooderson, FNP

  • Family Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1528537859
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138854 Issued in TX
Practice address
207 That Way St Ste C
Lake Jackson, TX 77566-5211
Phone
(979) 614-0115
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138854 TX Primary

Addresses

Primary practice location

207 That Way St Ste C
Lake Jackson, TX 77566-5211

Mailing address

207 That Way St Ste C
Lake Jackson, TX 77566-5211
Phone (979) 614-0115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819001832 TX Practitioner - Nurse Practitioner 4880922640 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP138854TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Mar 1, 2020 Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1528537859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 THAT WAY ST STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665211",
            "telephone_number": "979-614-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 THAT WAY ST STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665211",
            "telephone_number": "979-614-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODERSON",
        "first_name": "ASHLEY",
        "middle_name": "JILL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.