Rayna Lane Wooten, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT07347 Issued in TX

Practice address

2200 Bergquist Dr Ste 1
Lackland Afb, TX 78236-9908

Phone

(210) 240-0230

NPI assigned

May 21, 2008

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 identifiers 1

Other names 1

• Rayna Lane Rogiers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1760649297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DRAGON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542420",
            "telephone_number": "210-240-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR STE 1",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-240-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "RAYNA",
        "middle_name": "LANE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DT07347",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAYNA",
            "last_name": "ROGIERS",
            "middle_name": "LANE",
            "credential": "MS, RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Willford Hall Medical Ctr
• Willford Hall Medical Ctr
• Willford Hall Medical Ctr
• Shing Yiu Wong
• Jeffrey Scott Woolford, M.D.
• John Lawton Wright III, M.D.
• Carmen Maria Wyatt, CADAC
• Ronald Everett Wyatt, CRNA
• Bronwyn Louis Young II, M.D.
• Eshaan Zaveri

• Registered Dietitian in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.