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SAMUEL WESLEY WOOTTEN
NPI 1104365055
Student in an Organized Health Care Education/Training Program in Hummelstown, PA

Active since February 13, 2017
126 DOREEN DR, HUMMELSTOWN, PA 17036(717) 566-4525 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samuel Wesley Wootten NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL WESLEY WOOTTEN (NPI 1104365055) is an individual student in an organized health care education/training program in Hummelstown, Pennsylvania and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1104365055
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL WESLEY WOOTTEN
Location Address126 DOREEN DRHummelstown, PA 17036-2724
Mailing Address126 Doreen DrHummelstown, PA 17036-2724 · (717) 566-4525
Phone(717) 566-4525
Sole ProprietorNo
Enumeration DateFebruary 13, 2017
✔ NPI 1104365055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
126 DOREEN DR, Hummelstown, PA 17036
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Wootten's NPI number?

The NPI number for Samuel Wootten is 1104365055. It was assigned to this individual provider in the NPPES registry on February 13, 2017.

Where is Samuel Wootten located?

Samuel Wootten practices at 126 Doreen Dr, Hummelstown, PA 17036. The listed phone number is (717) 566-4525.

What is Samuel Wootten's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samuel Wootten was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.