MS. RACHAEL HOLLISTER WOOTEN


Address: 2721 Kittrell Dr., Raleigh, NC 27608
Phone: 9198819661

MS. RACHAEL HOLLISTER WOOTEN (NPI# 1811144942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811144942
Entity Type Individual
Full Name MS. RACHAEL HOLLISTER WOOTEN
Credential PH.D.
Practice Address 2721 Kittrell Dr.
Raleigh
NC 27608
Practice Telephone 9198819661
Practice Fax Number 9198811165
Mailing Telephone 9198819661
Mailing Fax Number 9198811165
Enumeration Date 2008-08-20
Last Update Date 2008-08-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
569 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE 8904849 01
BC BS NC 04849 01

Office Location

Street Address 2721 KITTRELL DR.
City RALEIGH
State NC
Zip Code 27608

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1194192864 Kathryn Bailey Jeutter Specialist/Technologist 1550 Iredell Dr, Raleigh, NC 27608 2015-08-28
1285950345 Kathryn Dukes Miller Social Worker 2306 Mcmullan Circle, Raleigh, NC 27608 2010-04-14
1093043341 Kristen Bryda Beach Dietitian, Registered 608 Scales Towne Court, Raleigh, NC 27608 2009-11-25
1861641862 Michele Carpenter Bulk Physical Therapist 513 E Whitaker Mill Rd, Raleigh, NC 27608 2008-09-15
1770872673 Wendy Jill Phillips Physical Therapist 2626 Glennwood Ave, Suite 160, Raleigh, NC 27608-0000 2011-03-31
1427147875 Brian J Kelleher Dds Pa Clinic/Center 2609 Glenwood Ave, Raleigh, NC 27608-1003 2006-10-12
1942795455 Seth C Rumley Dds Pa II Dentist 2609 Glenwood Ave, Raleigh, NC 27608-1003 2018-06-27
1114016771 Brian J Kelleher Dentist 2609 Glenwood Ave, Raleigh, NC 27608-1003 2006-10-12
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710507314 Allison Irving Psychologist 3119 Briar Stream Run, Raleigh, NC 27612-5241 2020-04-23
1740441575 William Clifton Branch Jr. Psychologist 6701 Ascot Ct, Raleigh, NC 27615-7325 2008-06-24
1609903236 Alice Ann Moore Psychologist 8120 Pony Pasture Ct, Raleigh, NC 27612-7378 2007-02-28
1750434767 Les Brinson Psychologist 4617 Limerick Dr, Raleigh, NC 27604-3525 2007-01-21
1508807033 Stephen John Flannelly Psychologist 8524 Six Forks Rd, Suite 203, Raleigh, NC 27615-3099 2006-06-08
1487113353 Clark Slagle Psychologist 901 Paverstone Dr, Raleigh, NC 27615-4710 2019-03-19
1750874855 Anna Katherine Smith Psychologist 9205 Baileywick Rd Ste 200, Raleigh, NC 27615-1977 2018-06-13
1124516026 Alexandra Broustovetskaia Psychologist 8303 Six Forks Rd Ste 207, Raleigh, NC 27615 2018-04-25
1396058400 Rachel Lynn Ford Psychologist 610 W Peace St, Raleigh, NC 27605-1520 2010-07-17
1770895310 Lutheran Family Services In The Carolinas Psychologist 616 Hutton St, Raleigh, NC 27606-1444 2010-07-12
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Competitor

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City RALEIGH
Zip Code 27608

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Dataset Information

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.

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