Active NPI
Ayla Rabecca Wood, CM/WC
- Counselor
- Pauls Valley, OK
National Provider Identifier
1740739606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 109 S Willow St
Pauls Valley, OK 73075-3833 - Phone
- (405) 238-3530
- NPI assigned
- Oct 3, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
109 S Willow St
Pauls Valley, OK 73075-3833
Mailing address
PO Box 635
Pauls Valley, OK 73075-0635
Phone (405) 679-6804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740739606 | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518998400000",
"number": "1740739606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730750635",
"telephone_number": "405-679-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S WILLOW ST",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730753833",
"telephone_number": "405-238-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "AYLA",
"middle_name": "RABECCA",
"credential": "CM/WC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2018-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740739606",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pauls Valley, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.