Alexandra Grace Wooten

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

ES60980014 Issued in WA

Practice address

5043 N Visscher St
Tacoma, WA 98407-2112

Phone

(253) 948-6236

NPI assigned

Aug 6, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1679183412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5043 N VISSCHER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072112",
            "telephone_number": "253-948-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5043 N VISSCHER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072112",
            "telephone_number": "253-948-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "ALEXANDRA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WA",
            "license": "ES60980014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Woodworth, DC
• McKenzie Woody, D.O.
• Deborah J Woolard, MD
• Cathryn Woon, D.C.
• Christopher G Woon, L.AC
• Desdemona Wooten, ARNP, FNP-C
• Sharon Worden, MHS PT
• Vivian J Worden, LMP
• Shandi Sarah Workman, LMP
• Amanda Worley

• Basic Emergency Medical Technician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Basic Emergency Medical Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.