LINDA FAYE WOOTTON (NPI# 1801217492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801217492 |
| Entity Type | Individual |
| Full Name | LINDA FAYE WOOTTON |
| Practice Address |
564 S Dora St Suite B Ukiah CA 95482-5486 |
| Mailing Address |
795 S Dora St Ukiah CA 95482-5335 |
| Practice Telephone | 7074720362 |
| Mailing Telephone | 7073917341 |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2014-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
564 S DORA ST SUITE B |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-5486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700919214 | Patricia Ann Douthwaite | Acupuncturist | 564 S Dora St, Suite A, Ukiah, CA 95482-5486 | 2007-03-13 |
| 1972952349 | Preciliana Yanez | Licensed Psychiatric Technician | 564 S Dora St, Ste. D, Ukiah, CA 95482 | 2016-06-07 |
| 1972974087 | Michael Paul Brainerd | Counselor | 564 S Dora St, Suite D, Ukiah, CA 95482-5486 | 2015-10-14 |
| 1497159214 | Sandra P Lopez | Licensed Vocational Nurse | 564 S Dora St, Suite D, Ukiah, CA 95482-5486 | 2014-10-22 |
| 1548662133 | Nathan Wolf | Counselor | 564 S Dora St, Suite B 2, Ukiah, CA 95482 | 2014-09-25 |
| 1497157135 | Michael Shepard | Point of Service | 564 S Dora St, Suite D, Ukiah, CA 95482-5486 | 2014-09-25 |
| 1558790931 | Integrated Care Management Solutions | Clinic/Center | 564 S Dora St, Suite D, Ukiah, CA 95482-5486 | 2013-11-05 |
| 1508098229 | Denise Mihelle Addison | Counselor | 564 S Dora St, Suite B 2, Ukiah, CA 95482-5486 | 2009-08-13 |
| 1104027382 | Jesse Dugger | Driver | 564 S Dora St, Suite B2, Ukiah, CA 95482-5486 | 2007-05-29 |
| 1760509269 | Chandra Dawn Gonsales | Counselor | 564 S Dora St, Ukiah, CA 95482-5486 | 2007-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669955506 | Katerina Smallcomb | Counselor | 169 Mason St, Ukiah, CA 95482-4482 | 2018-09-06 |
| 1316460900 | Ksenia Zhilyaeva | Counselor | 775 S State St Ste 107, Ukiah, CA 95482-5815 | 2017-07-25 |
| 1457702292 | Felice Suzanne Hensley | Counselor | 775 S State St, Suite 107, Ukiah, CA 95482-5815 | 2016-06-23 |
| 1134508740 | Suzanne Yonts-baughman | Counselor | 631 S. Orchard Ave., Ukiah, CA 95482-3312 | 2015-05-28 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1578986386 | Yvette Eileen Stemets | Counselor | 468 Beltrami Dr, Ukiah, CA 95482-8746 | 2014-01-30 |
| 1154750628 | Kimberlee Suzanne Golding | Counselor | 376 E Gobbi St Ste B, Ukiah, CA 95482-5511 | 2013-11-05 |
| 1962537654 | Amy Aikman | Counselor | 410 Jones St Ste C1, Ukiah, CA 95482-5491 | 2007-02-22 |
| 1821137175 | Tabitha I Kuehne | Counselor | 350 E. Gobbi St, Ukiah, CA 95482 | 2007-02-05 |
| Find all providers in UKIAH | ||||
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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.