Active NPI
Amy Lee Wooten, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Fort Carson, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 108120
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RB Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Colorado Springs, CO
- NPI 1972108306
Nurse Anesthetist, Certified Registered
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.