LADEIDRA NICOLE WOOTEN RN
NPI 1912770249
Registered Nurse - Case Management in Snellville, GA

Q: What is Ladeidra Wooten's NPI number?

The NPI number for Ladeidra Wooten is 1912770249. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Q: What is Ladeidra Wooten's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

Q: When was this NPI record last updated?

The NPPES record for Ladeidra Wooten was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since October 30, 2023

4250 ANTELOPE LN, SNELLVILLE, GA 30039(770) 778-1702 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2025, Oct 30, 2023 (2 updates tracked since 2023).

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About Ladeidra Nicole Wooten Rn NPPES

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

LADEIDRA NICOLE WOOTEN RN (NPI 1912770249) is an individual case management provider in Snellville, Georgia, licensed in Georgia (RN243005) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1912770249

Entity TypeIndividualFemale

Primary Taxonomy163WC0400X

Provider Legal NameLADEIDRA NICOLE WOOTENCredential: RN

Location Address4250 ANTELOPE LNSnellville, GA 30039-5694

Mailing Address4250 Antelope LnSnellville, GA 30039-5694 · (770) 778-1702

Phone(770) 778-1702

Sole ProprietorNo

Enumeration DateOctober 30, 2023

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1912770249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers

Taxonomy Code163WC0400X

License✔ Licensed in GA · RN243005

Also ListedCounselor · PastoralTaxonomy 101YP1600X · License RN243005 (GA)

Also ListedRegistered Nurse · Nurse Massage Therapist (NMT)Taxonomy 163WM1400X · License MT013436 (GA)

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN243005 (GA)

Also ListedHealth and Wellness CoachTaxonomy 171400000X · License RN243005 (GA)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License RN243005 (GA)

Also ListedReflexologistTaxonomy 173C00000X · License RN243005 (GA)

Also ListedHealth EducatorTaxonomy 174H00000X · License RN243005 (GA)

Also ListedIntegrative MedicineTaxonomy 202D00000X · License RN243005 (GA)

4250 ANTELOPE LN, Snellville, GA 30039

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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 Ladeidra Wooten's NPI number?

The NPI number for Ladeidra Wooten is 1912770249. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Ladeidra Wooten located?

Ladeidra Wooten practices at 4250 Antelope Ln, Snellville, GA 30039. The listed phone number is (770) 778-1702.

What is Ladeidra Wooten's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Ladeidra Wooten was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.