Cynthia Joanna Wooten, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

CNP-01835 Issued in NM

Practice address

1001 W Broadway
Suite D
Farmington, NM 87401-5638

Phone

(505) 327-4796

Fax

(505) 325-9113

NPI assigned

Oct 14, 2011

Last updated

Oct 14, 2011By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1750666327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W BROADWAY",
            "address_2": "SUITE D",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015638",
            "telephone_number": "505-327-4796",
            "fax_number": "505-325-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W BROADWAY",
            "address_2": "SUITE D",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015638",
            "telephone_number": "505-327-4796",
            "fax_number": "505-325-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "CYNTHIA",
        "middle_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "CNP-01835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Wolff, PT, DPT
• Ashlee Wood
• Dennis J Woods, CRNA
• Chrishana Nicole Woody
• Heather Woolf
• Julie Ana Wortman, LMT
• Jeannie Marie Wright, LMSW
• Melissa Wright
• Pamela J Wright
• Marlyn Brian Wyatt, DPT, RN

• Adult Health Nurse Practitioner in Farmington, NM
• Providers in Farmington, NM by specialty
• Adult Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.