Individual provider Active NPI

Amy Lee Wooten, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Carson, CO
National Provider Identifier
1962959502
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
108120 Issued in TX
Practice address
Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913
Phone
(719) 526-7000
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 108120 TX Primary

Addresses

Primary practice location

Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913

Mailing address

Evans Army Community Hospital
1650 Cochrane Cir B7500
Ft Carson, CO 80913
Phone (719) 526-7000

Other practice location 1

3351 Roger Brooks Dr
FSH
Fort Sam Houston, TX 78234
Phone (210) 916-3000

Other practice location 2

Brian Allgood Army Hospital
Unit 15244
Camp Humphreys, Korea 96205
KR
Phone (315) 737-1368

Other names 1

  • Amy Lee Goodrow Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amy.l.wooten5.mil@mail.mil Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211027000105 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264820190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Anesthesia LLCGroup PAC ID 9436563145, 10 clinicians

Practice addresses (Care Compare)

1402 Fortino Blvd
Pueblo, CO 81008-2033
Phone (719) 404-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
RB Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2026 Accepting new patients

Locations

1402 Fortino Blvd
Pueblo, CO 81008
Phone (719) 404-4040

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1962959502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIR B7500",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVANS ARMY COMMUNITY HOSPITAL",
            "address_2": "1650 COCHRANE CIR B7500",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "719-526-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3351 ROGER BROOKS DR",
            "address_2": "FSH",
            "address_purpose": "LOCATION",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-916-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Brian Allgood Army Hospital",
            "address_2": "Unit 15244",
            "address_purpose": "LOCATION",
            "city": "Camp Humphreys",
            "state": "Korea",
            "postal_code": "96205",
            "country_code": "KR",
            "telephone_number": "315-737-1368",
            "country_name": "Korea, Republic of",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "AMY",
        "middle_name": "LEE",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "108120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "amy.l.wooten5.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "military email account",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Brian Allgood Army Hospital",
            "address_2": "Unit 15244",
            "city": "Camp Humphreys",
            "state": "Korea",
            "country_code": "KR",
            "postal_code": "96205",
            "country_name": "Korea, Republic of",
            "address_type": "FGN"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GOODROW",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.