ANNE WOOTTEN (NPI# 1275684169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275684169 |
| Entity Type | Individual |
| Full Name | ANNE WOOTTEN |
| Credential | NP |
| Practice Address |
3001 Moore Street Mercy Life Philadelphia PA 19145 |
| Mailing Address |
1930 S Broad St Unit 3 Philadelphia PA 19145-2328 |
| Practice Telephone | 2153394200 |
| Practice Fax Number | 2153394203 |
| Mailing Telephone | 2153394563 |
| Mailing Fax Number | 2153394523 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP010254 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3001 MOORE STREET MERCY LIFE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1235696741 | Divya Rebecca Roberts | Nurse Practitioner | 3400 Civic St, 4th Fl, Philadelphia, PA 19104-5127 | 2019-02-21 |
| 1770073090 | Eboni Simmons | Nurse Practitioner | 5501 Old York Rd # 4320, Philadelphia, PA 19141-3018 | 2018-05-11 |
| 1780180620 | Natalie Clarke | Nurse Practitioner | 7727 Overbrook Ave, Philadelphia, PA 19151-2016 | 2018-03-31 |
| 1396240792 | Barbara Ann Young | Nurse Practitioner | 15054 Carter Rd, Philadelphia, PA 19116-1503 | 2018-03-27 |
| 1780182451 | Kelly Ann Joyce | Nurse Practitioner | 5225 Arendell Ave, Philadelphia, PA 19114-4229 | 2018-01-29 |
| 1699273615 | Dana Patricia Ridley | Nurse Practitioner | 2024 Emily St, Philadelphia, PA 19145-2823 | 2018-01-24 |
| 1497205157 | Sinu Satheeshbabu Nair | Nurse Practitioner | 9285 Darlington Rd, Philadelphia, PA 19115-2734 | 2016-10-06 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on ANNE WOOTTEN.
| 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.