Active NPI
Tina Wooten, MS.CCC-SLP
- Speech-Language Pathologist
- Tarboro, NC
National Provider Identifier
1619121035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1764
- Practice address
- 2311 N Main St
Tarboro, NC 27886-2108 - Phone
- (252) 641-2600
- NPI assigned
- Nov 12, 2008
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1764 | NC | Primary |
Addresses
Primary practice location
2311 N Main St
Tarboro, NC 27886-2108
Mailing address
220 Brandon Ave
Tarboro, NC 27886-2010
Phone (252) 813-6587
Other names 1
- Mrs. Tina Hardy Wooten
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edge Combe County Public Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Tarboro, NC
- NPI 1689904914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1619121035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BRANDON AVE",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862010",
"telephone_number": "252-813-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 N MAIN ST",
"city": "TARBORO",
"state": "NC",
"postal_code": "278862108",
"telephone_number": "252-641-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTEN",
"first_name": "TINA",
"credential": "MS.CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "WOOTEN",
"middle_name": "HARDY",
"prefix": "MRS.",
"credential": "MS.CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tarboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.