Active NPI
Gordon Worley, FNP
- Family Nurse Practitioner
- Woodland, CA
National Provider Identifier
1003298324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95002601
- Practice address
- 1325 Cottonwood St
Woodland, CA 95695-5131 - Phone
- (530) 662-3961
- NPI assigned
- Jun 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95002601 | CA | Primary |
Addresses
Primary practice location
1325 Cottonwood St
Woodland, CA 95695-5131
Mailing address
PO Box 2011
Loomis, CA 95650-2011
Phone (916) 216-6180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1003298324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2011",
"city": "LOOMIS",
"state": "CA",
"postal_code": "956502011",
"telephone_number": "916-216-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 COTTONWOOD ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955131",
"telephone_number": "530-662-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "GORDON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-23",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95002601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.