Kellie Raye Wooten, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8574 Issued in TX

Practice address

102 Mosheim St
Seguin, TX 78155-4908

Phone

(830) 386-0340

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Hands Chiropractic LLC

  • Chiropractor
  • Seguin, TX
  • NPI 1740610518
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1629162896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOSHEIM ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554908",
            "telephone_number": "830-386-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MOSHEIM ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781554908",
            "telephone_number": "830-386-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "KELLIE",
        "middle_name": "RAYE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "606285",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Yvonne Williams, PH.D.,L.C.S.W.
• La'Shone Renee Wilson-Morise, OT
• Erin Michelle Witte Fudge
• Matthew Woelk, RD, LD
• Marilynn Womack, APRN,FNP-C
• Frank David Wright, M.D.
• Shawna K Wright, COTA
• Jason A Yoho, M.D.
• Tracie Young, FNP-C
• Yu-Jie 'Jack' Kuo M.D.,P.a.

• Chiropractor in Seguin, TX
• Providers in Seguin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.