Carol Denise Woodvine, M,OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT00003399 Issued in WA

Practice address

913 Horne Drive
Benton City, WA 99320

Phone

(509) 588-2090

NPI assigned

Dec 5, 2017

Sex

Female

Sole proprietor

Yes

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1760997464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 MORENCY DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529516",
            "telephone_number": "208-317-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 HORNE DRIVE",
            "city": "BENTON CITY",
            "state": "WA",
            "postal_code": "99320",
            "telephone_number": "509-588-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODVINE",
        "first_name": "CAROL",
        "middle_name": "DENISE",
        "credential": "M,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT00003399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Lewis Thompson, DC
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• Heidi Louise Williams
• Nicole M Worley, RN
• Steven R Zirker, PA-C

• Pediatric Occupational Therapist in Benton City, WA
• Providers in Benton City, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.