JESSICA ELAINE WOOTEN (NPI# 1245510494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245510494 |
| Entity Type | Individual |
| Full Name | JESSICA ELAINE WOOTEN |
| Credential | FNP-BC |
| Practice Address |
606 Washington St Ravenswood WV 26164-1730 |
| Practice Telephone | 3042731033 |
| Practice Fax Number | 3042731034 |
| Mailing Telephone | 3042731033 |
| Mailing Fax Number | 3042731034 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2017-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
73097 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1053854364 | Jessica Wooten | Nurse Anesthetist, Certified Registered | 1007 Goodyear Ave, Gadsden, AL 35903-1195 | 2016-11-18 |
| 1013186378 | Jessica Lee Wooten | Physical Therapist | 93b Springview Ln, Summerville, SC 29485-8154 | 2008-02-20 |
| Street Address |
606 WASHINGTON ST |
| City | RAVENSWOOD |
| State | WV |
| Zip Code | 26164-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912090135 | Wirt County Health Svc Assoc Inc | Pharmacy | 606 Washington St, Ravenswood, WV 26164-1730 | 2006-10-02 |
| 1356793095 | Ashley M Matheny | Psychologist | 606 Washington St, Ravenswood, WV 26164 | 2016-07-06 |
| 1386937985 | Rhonda Singleton Coberly | Pharmacist | 606 Washington St, Ravenswood, WV 26164-1730 | 2011-05-16 |
| 1831426402 | Charlotte Scott Whipkey | Social Worker | 606 Washington St, Ravenswood, WV 26164-1730 | 2009-11-03 |
| 1962616771 | Ronald E Greer II | Family Medicine | 606 Washington St, Ravenswood, WV 26164-1730 | 2007-05-10 |
| 1487877551 | Bonnie Heather Templeton | Family Medicine | 606 Washington St, Ravenswood, WV 26164-1730 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851787246 | First Settlement Physical Therapy | Physical Therapist | 240 Washington St, Ravenswood, WV 26164 | 2015-04-13 |
| 1467840975 | Gretchen Lynn Hammond | Nurse Practitioner | 859 Century Road, Ravenswood, WV 26164 | 2015-01-06 |
| 1780809095 | Emily Mccoy | Physical Therapy Assistant | 200 South Ritchie Ave, Ravenswood, WV 26164 | 2007-04-13 |
| 1427110717 | M A Zurita Hernando Ibrahim | Physical Therapist | 240 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| 1770687121 | Helen Dee Rymer | Dentist | 707 Washington Street, Ravenswood, WV 26164 | 2006-09-07 |
| 1093723207 | Michael Joseph Witt | Family Medicine | Alcan Rolled Products, Century Road, Ravenswood, WV 26164 | 2006-08-03 |
| 1013039965 | Physical Therapy Providers Pllc | Clinic/Center | 240 Washington Street, Ravenswood, WV 26164 | 2007-04-04 |
| 1356403703 | Wirt County Health Services Association, Inc | Family Medicine | 606 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| 1700320579 | Activate Healthcare - Constellium | Clinic/Center | 859 Century Road, Ravenswood, WV 26164-0068 | 2016-12-13 |
| 1932711587 | Jacqueline Goodnight | Technician | 519 Gibbs St, Ravenswood, WV 26164-1011 | 2020-08-17 |
| Find all providers in zip 26164 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467840975 | Gretchen Lynn Hammond | Nurse Practitioner | 859 Century Road, Ravenswood, WV 26164 | 2015-01-06 |
| 1013912799 | Murrita C. Bolinger | Nurse Practitioner | 606 Washington Street, Ravenswood, WV 26164-1373 | 2005-06-17 |
| 1073003117 | Tabitha Lynn Smith | Nurse Practitioner | 705 Washington St, Ravenswood, WV 26164-1729 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517259 | Jeniffer Rachelle Wickline | Nurse Practitioner | 1265 Maplewood Ave, Lewisburg, WV 24901-9478 | 2020-10-27 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1568069110 | Sarah Michelle Jones | Nurse Practitioner | 198 Morgantown St Unit 2, Bruceton Mills, WV 26525-5003 | 2020-10-07 |
| 1114524287 | Mary E Christian | Nurse Practitioner | 2107 Pike St Ste 3, Parkersburg, WV 26101-6973 | 2020-10-02 |
| 1376140517 | Katheryn Sue Marsh | Nurse Practitioner | 94 W Main St Ste 202, Buckhannon, WV 26201-2376 | 2020-10-01 |
| 1114534567 | Natalie Renee Warner | Nurse Practitioner | 601 Colliers Way Ste 502, Weirton, WV 26062-5014 | 2020-09-29 |
| 1942816137 | Angela Renee Goff | Nurse Practitioner | 119 Main St W Ste A, Oak Hill, WV 25901-2972 | 2020-09-22 |
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1407462070 | Lindsey King | Nurse Practitioner | 122 Waterside Cir, Winfield, WV 25213-9551 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
| City | RAVENSWOOD |
| Zip Code | 26164 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.