Individual provider Active NPI

Samantha Catlett Wooten, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1972010056
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140327 Issued in AL
Practice address
1720 Spring Hill Ave FL 3
Mobile, AL 36604-1410
Phone
(251) 435-2663
NPI assigned
Jan 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-140327 AL Primary

Addresses

Primary practice location

1720 Spring Hill Ave FL 3
Mobile, AL 36604-1410

Mailing address

1720 Spring Hill Ave FL 3
Mobile, AL 36604-1410
Phone (251) 435-2663

Other identifiers 1

IdentifierTypeStateIssuer
213607MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180626002962 AL Practitioner - Nurse Practitioner 0840545216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1720 Spring Hill Ave
Suite 3
Mobile, AL 36604-1410
Phone (251) 435-2663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imc -Gulf Orthopaedics LLC CurrentSince Jul 12, 2021 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Oct 1, 2023 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2021 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2021 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jul 12, 2021 Accepting new patients
Southern Orthopaedic Alliance PLLC CurrentSince Oct 1, 2023 Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients
Alabama Orthopaedic Clinics, PC Past Accepting new patients

Locations

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone 2517763569000

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1700 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-6850

1720 Spring Hill Ave
Ste 3
Mobile, AL 36604

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1972010056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE FL 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "telephone_number": "251-435-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE FL 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "telephone_number": "251-435-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "SAMANTHA",
        "middle_name": "CATLETT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213607",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.