Jill Suzanne Wooten, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP108376 Issued in TX

Practice address

3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675

Phone

(972) 256-3700

Fax

(866) 630-6348

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Suzanne Watson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: jill.wooten.1@20865.direct.athenahealth.com

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1659878171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623675",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623675",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "313 Westpark Way",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403902",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Westpark Way",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403902",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7429 Las Colinas Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750637573",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 N MacArthur Blvd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750623621",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 N MacArthur Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750623651",
            "country_code": "US",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP108376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "WATSON",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elise Nichole Woodside, FNP-BC
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• Esther Wooten, NP-C
• Jill Anjanette Wooten, BCBA
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• Women's Health Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.