DR. CHERYL WOOTEN (NPI# 1376978379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376978379 |
| Entity Type | Individual |
| Full Name | DR. CHERYL WOOTEN |
| Credential | PSY.D. |
| Practice Address |
1 Bear Pl Unit 97060 Waco TX 76798-7060 |
| Practice Telephone | 2547102467 |
| Mailing Telephone | 2547102467 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
36380 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251470 | Cheryl Wooten | Counselor | 5800 Choctaw Dr, Granbury, TX 76049-5234 | 2020-07-03 |
| 1336656453 | Cheryl Wooten | Counselor | 6700 S South Shore Dr, Chicago, IL 60649-1310 | 2018-01-10 |
| 1639179351 | Cheryl B Wooten | Pharmacist | 400 Medical Park Dr, Atmore, AL 36502-3004 | 2005-07-22 |
| Street Address |
1 BEAR PL UNIT 97060 |
| City | WACO |
| State | TX |
| Zip Code | 76798-7060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891319 | Heather Cynthia Balent | Specialist/Technologist | 1 Bear Pl, Waco, TX 76798-0006 | 2018-05-11 |
| 1316910003 | Matthea Sherrell Williams | Specialist/Technologist | 1312 S 5th St, Waco, TX 76798-0009 | 2006-02-11 |
| 1881827624 | Jessica Jean Layden | Student in an Organized Health Care Education/Training Program | 1 Bear Pl Unit 97313, Waco, TX 76798-7313 | 2009-08-27 |
| 1649452285 | Lori Dee Greenwood | Specialist/Technologist | One Bear Place #97313, 1311 S. 5th St., Waco, TX 76798-7313 | 2007-12-05 |
| 1528033271 | Michael Chandler | Specialist/Technologist | 1 Bear Pl, Waco, TX 76798-7313 | 2006-02-17 |
| 1396345203 | Courtney Aileen Detringo | Specialist/Technologist | 1 Bear Pl Unit 97313, Waco, TX 76798-7313 | 2020-10-29 |
| 1245685254 | Andrew Gallucci | Specialist/Technologist | 1 Bear Pl Unit 97313, Waco, TX 76798-7313 | 2016-04-27 |
| 1619208048 | Li Wan | Psychologist | 1 Bear Pl Unit 97334, Dept. of Psychology, Waco, TX 76798-7334 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| 1467051557 | Jyotsna Jerome | Technician, Pathology | 9809 Shallow Creek Dr, Waco, TX 76708-6199 | 2020-10-20 |
| 1063010403 | Ramiahtrans LLC | Driver | 1326 S 11th St, Waco, TX 76706-6712 | 2020-10-16 |
| 1831797083 | Chase Stuart Richins | Physical Therapist | 4800 Memorial Dr Bldg 11, Waco, TX 76711-1329 | 2020-10-10 |
| 1598362923 | Isel N Pineda | Registered Nurse | 117 Wolf Ln, Waco, TX 76705-6170 | 2020-10-08 |
| 1366049488 | Ifunanya Onyima | Dietitian, Registered | 2500 Marketplace Dr Apt 536, Waco, TX 76711-2440 | 2020-10-01 |
| 1477160315 | Kaili Kennedy | Technician, Other | 66 Daughtrey Ave Apt 516, Waco, TX 76706-1677 | 2020-09-24 |
| 1104432632 | Jennifer Podrebarac | Counselor | 2010 Lasalle Ave, Ste B, Waco, TX 76706 | 2020-09-21 |
| 1881209559 | Veronica House | Nurse Practitioner | 358 Flint Rd, Waco, KY 40385-9714 | 2020-09-10 |
| Find all providers in WACO | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588100978 | Diana Lee Wilcox | Psychologist | 913 Franklin Ave Ste 207, Waco, TX 76701-1950 | 2017-01-10 |
| 1003048604 | Nathan A Kimbrel | Psychologist | 4800 Memorial Drive (151c), Center of Excellence, Central Texas Veterans Health Care System, Waco, TX 76711-1329 | 2009-08-14 |
| 1851508881 | Sheila Robinson Bell | Psychologist | 422 Wesley Robinson Rd, Waco, TX 76705-5064 | 2007-05-17 |
| 1053418756 | David Fay Tharp | Psychologist | 39 Independence Trl, Waco, TX 76708-9603 | 2006-09-17 |
| 1548273873 | Health and Human Services Commission | Psychologist | 3501 North 19th Street, Waco, TX 76708-2007 | 2006-08-15 |
| 1861446007 | Randal W. Boldt | Psychologist | 3708 W Waco Dr, Ste. 3, Waco, TX 76710-5381 | 2006-05-20 |
| 1699765008 | Harold H Lecrone Jr. | Psychologist | 4555 Lake Shore Dr, Waco, TX 76710-1814 | 2005-10-26 |
| 1750381067 | Deborah Ann Brock | Psychologist | 900 Austin Ave, Suite 500, Waco, TX 76701-1902 | 2005-07-28 |
| 1114572435 | Melissa Sloan | Psychologist | 209 Old Hewitt Rd Ste 3, Waco, TX 76712-6599 | 2019-08-04 |
| 1083118368 | Danielle A Young | Psychologist | 8401 Old Mcgregor Rd, Waco, TX 76712-6495 | 2018-03-21 |
| Find all providers in WACO | ||||
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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.