Terrell Wootten, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

0024056113 Issued in VA

Practice address

420 Bracey LN
South Hill, VA 23970-1631

Phone

(434) 447-7765

NPI assigned

Oct 23, 2006

Last updated

Dec 10, 2014By 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

Other identifiers 1

Other names 1

• Terrell O'Steen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/679/brand/1/csg/319/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southside Physician Network LLC

  • Internal Medicine Physician
  • Colonial Heights, VA
  • NPI 1811146194
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1871676742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700623",
            "telephone_number": "434-447-7765",
            "fax_number": "434-447-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BRACEY LN",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701631",
            "telephone_number": "434-447-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTTEN",
        "first_name": "TERRELL",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": "0024056113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM VA LICENSE",
            "identifier": "0024056113",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRELL",
            "last_name": "O'STEEN",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William a Shelton Jr MD
• Carlos A Williams, MD
• Haley Williams
• Victoria R Williams, DPM
• Holly Wilson, N.P.
• Ashley Wray, FNP-BC
• Miranda Ellis Wright
• Ayesha Issina Ibrahim Yakubu
• Akhil George Zacharia, MD
• Yi Wei Zhang, M.D.

• Advanced Practice Midwife in South Hill, VA
• Providers in South Hill, VA by specialty
• Advanced Practice Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.