Linda Fay Wooten

Primary specialty

DriverTaxonomy code 172A00000X

License

0066621 Issued in TN

Practice address

2259 Spring Place Rd SE
Cleveland, TN 37323

Phone

(423) 559-8176

Fax

(423) 559-9699

NPI assigned

Nov 30, 2006

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 2

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780751933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 SPRING PLACE RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37323",
            "telephone_number": "423-559-8176",
            "fax_number": "423-559-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 SPRING PLACE RD SE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37323",
            "telephone_number": "423-559-8176",
            "fax_number": "423-559-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "LINDA",
        "middle_name": "FAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TN",
            "license": "0066621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE TENN CARE SELEC",
            "identifier": "4108705",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T000174",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Women'S Institute for Specialized Health, PLLC
• Woodbine Dental PLLC
• Jennifer Claire Woodrow, RN
• Skylar Woodruff
• Fred Ashley Woolwine Jr., DDS
• Randy H. Worde, OTR, CHT, CEAS
• Cynthia Marie Work, FNP-BC
• Matthew Ryan Workman, MD, MPH, FAAP
• Joshua Worthington, MD
• Ashley Wright

• Driver in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Driver in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.