FREDERICA WOOTEN (NPI# 1700495173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700495173 |
| Entity Type | Individual |
| Full Name | FREDERICA WOOTEN |
| Credential | LPC |
| Practice Address |
12334 Maura Ln Houston TX 77044-1630 |
| Practice Telephone | 3462975208 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
73087 | TX | Behavioral Health & Social Service Providers |
| Street Address |
12334 MAURA LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77044-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073163077 | Michael Paul Cyr | Technician | 11306 Christian Dr., Houston, TX 77044 | 2019-09-12 |
| 1710458013 | Taylor Powell | Licensed Practical Nurse | 15027 Sheldon Ridge Way, Houston, TX 77044 | 2018-12-12 |
| 1205315611 | Magdalene Patricia Onyenekwe | Registered Nurse | 15410 Broken Hills Lane, Houston, TX 77044 | 2018-08-08 |
| 1730613076 | Decordova Eyewear LLC | Optometrist | 12230 West Lake Houston Parkway, Suite 155, Humble, TX 77044 | 2017-04-13 |
| 1407392871 | Keisha Aniece Welsh | Registered Nurse | 12919 Barkley Bend Lane, Houston, TX 77044 | 2017-01-10 |
| 1710438213 | Texas Alliance Surgical Center, LLC | Clinic/Center | 14315 E. Sam Houston Pkwy, Ste. 200, Houston, TX 77044 | 2016-10-19 |
| 1801345038 | National Vision, Inc. | Technician/Technologist | 14243 East Sam Houston Pkwy N, Suite 1000, Houston, TX 77044 | 2016-09-29 |
| 1043768443 | Signature Smiles Humble Pllc | Dentist | 14315 E. Sam Houston Parkway, Suite 100, Houston, TX 77044 | 2016-09-14 |
| 1902290554 | Andrea Folayan | Dentist | Four Lion Dental Boutique, 16430 West Lake Houston #700, Houston, TX 77044 | 2015-03-21 |
| 1306237904 | Summerwood Medical Center | Clinic/Center | 12665 W Lake Houston Pkwy, Houston, TX 77044 | 2015-02-18 |
| Find all providers in zip 77044 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013589 | Infinite Beings Treatment Center LLC | Counselor | 4201 Cypress Creek Pkwy Ste 250, Houston, TX 77068-3412 | 2020-11-02 |
| 1134729106 | Provost Psychotherapy | Counselor | 1300 Bay Area Blvd Ste B150-28, Houston, TX 77058-2505 | 2020-10-29 |
| 1720687361 | Tina H Glenn | Counselor | 3126 Greenbriar Springs Dr, Houston, TX 77073-6110 | 2020-10-24 |
| 1831798776 | Kimberly R Taylor | Counselor | 11646 Greensbrook Garden Dr, Houston, TX 77044-7212 | 2020-10-21 |
| 1861091142 | Mary Anne Donovan | Counselor | 2401 Swift Blvd, Houston, TX 77030-1805 | 2020-10-19 |
| 1487251682 | Amanda Jane Zimmerman | Counselor | 9850 Richmond Ave Apt 5102, Houston, TX 77042-4578 | 2020-10-01 |
| 1902413289 | Christopher John Hill | Counselor | 9401 Southwest Fwy Fl 3, Houston, TX 77074-1407 | 2020-09-30 |
| 1417564766 | Courtney Miller | Counselor | 8877 Lakes At 610 Dr Apt 431, Houston, TX 77054-2586 | 2020-09-29 |
| 1730795923 | Catrina M Scott | Counselor | 7676 Hillmont St Ste 120, Houston, TX 77040-6468 | 2020-09-22 |
| 1619583259 | Angela Morgan | Counselor | 2626 S Loop W Ste 310, Houston, TX 77054-2645 | 2020-09-18 |
| Find all providers in HOUSTON | ||||
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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.