ALEXANDRA GRACE WOOTEN (NPI# 1679183412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679183412 |
| Entity Type | Individual |
| Full Name | ALEXANDRA GRACE WOOTEN |
| Practice Address |
5043 N Visscher St Tacoma WA 98407-2112 |
| Practice Telephone | 2539486236 |
| Mailing Telephone | 2539486236 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | ES60980014 | WA | Emergency Medical Service Providers |
| Street Address |
5043 N VISSCHER ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98407-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134205 | Adrienne Ashley | Behavior Technician | 3704 Nth 35th Street, Tacoma, WA 98407 | 2019-10-07 |
| 1346890050 | Theresa Marie Hopper | Technician | 5335 N. Ruby St., Tacoma, WA 98407 | 2019-09-14 |
| 1255894176 | Washington Dental Corporation, PC | Dentist | 2729 N Pearl St, Tacoma, WA 98407 | 2019-04-08 |
| 1518445196 | Rachael L Southern | Registered Nurse | 3502 N Visscher St, Tacoma, WA 98407 | 2018-08-06 |
| 1477082121 | Annalise Hertler | Case Manager/Care Coordinator | 5410 N 44th Street, Tacoma, WA 98407 | 2017-06-07 |
| 1720533805 | Edward Adlen Herrera | Behavioral Analyst | 3704 Nth 35th St, Tacoma, WA 98407 | 2016-08-18 |
| 1770945065 | Karen Schowalter | Family Medicine | 5741 N 26th St Unit 115, Tacoma, WA 98407 | 2016-03-24 |
| 1770950446 | Darriell Beaumonte | Counselor | 5410 N. 44th Street, Tacoma, WA 98407 | 2015-08-28 |
| 1750722682 | Lori Ha | Dentist | 5005 Main St Ste 107, Ruston, WA 98407 | 2013-07-08 |
| 1861745929 | Jennifer L Trahan | Counselor | 5410 N. 44th St., Tacoma, WA 98407 | 2012-10-25 |
| Find all providers in zip 98407 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609404409 | Montana Wynn Gubrud | Emergency Medical Technician, Basic | 1705 Dock St Unit 334, Tacoma, WA 98402-3216 | 2020-03-29 |
| 1306311667 | Michael Dean Torres | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431-1100 | 2018-10-12 |
| 1285125351 | Xinhui Huang | Emergency Medical Technician, Basic | 4815 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1757 | 2018-05-24 |
| 1104344472 | Chalsea Jayne Hicks Nerys | Emergency Medical Technician, Basic | Madigan Army Medical Center Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2017-09-06 |
| 1689038705 | William Anthony Bermoy IIi | Emergency Medical Technician, Basic | 9040 Jackson Ave, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1100 | 2016-04-06 |
| 1710344015 | Matthew C Dayoe | Emergency Medical Technician, Basic | 9040 Reid St, Attn: Mchj-clq-c, Madigan Army Medical Center, Tacoma, WA 98431-1000 | 2016-01-19 |
| 1215308804 | Ulysses Mendez | Emergency Medical Technician, Basic | 9040 Reid Street Madigan Army Medical Ctr, Attn: Mchj-clq-c, Tacoma, WA 98431-1000 | 2015-10-08 |
| 1689236507 | Meredith Anna Russell | Emergency Medical Technician, Basic | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-07-01 |
| 1386107456 | Robert De La Pena Jr. | Emergency Medical Technician, Basic | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-04-07 |
| 1366918625 | Rafcel Gabriel Hernandez | Emergency Medical Technician, Basic | Madigan Army Medical Center, 9040 Jackson Ave, Attn: Mchj-clq-c, Tacoma, WA 98433-1100 | 2018-10-15 |
| Find all providers in TACOMA | ||||
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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.