Provider Demographics
NPI:1114976438
Name:OOTEN, ANNE-MARIE CALKINS (AU D)
Entity Type:Individual
Prefix:DR
First Name:ANNE-MARIE
Middle Name:CALKINS
Last Name:OOTEN
Suffix:
Gender:F
Credentials:AU D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 S JEFFERSON AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-4279
Mailing Address - Country:US
Mailing Address - Phone:931-854-9499
Mailing Address - Fax:
Practice Address - Street 1:728 S JEFFERSON AVE STE 8
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4279
Practice Address - Country:US
Practice Address - Phone:931-854-9499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1578231H00000X
TN1431231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4119178OtherTNCARE
TN4186277OtherBCBS OF TENNESSEE
TN4119178OtherBLUE CROSS OF TN
TN4186277OtherTENNCARE SELECT
TN4119178OtherTNCARE
TN4119178OtherBLUE CROSS OF TN