Active NPI
Ashley Jill Wooderson, FNP
- Family Nurse Practitioner
- Lake Jackson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP138854
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138854 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Doctors Express, PA PSC | Current | Accepting new patients | |
| Doctors Express of the Beaumont Area PA | Current | 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.
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1841525235
-
- Urgent Care Clinic/Center
- Southlake, TX
- NPI 1942519335
-
- Urgent Care Clinic/Center
- Temple, TX
- NPI 1568696227
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.