Organization Active NPI

Worthy Wellness LLC

Doing business as Collaborative Wellness

  • Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1063276798
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WORTHY WELLNESS LLC
Doing business as
Collaborative Wellness
Practice address
826 N Mullan Rd Ste B
Spokane Valley, WA 99206-4094
Phone
(509) 342-7411
Fax
(509) 342-7413
NPI assigned
Feb 13, 2024
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brittanee Richele Worthy, NPNPI 1003486507
Title
FNP
Phone
(509) 342-7411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

826 N Mullan Rd Ste B
Spokane Valley, WA 99206-4094

Mailing address

620 N Woodlawn Rd
Spokane Valley, WA 99216-0976
Phone (509) 342-7411

Other names 1

  • Collaborative Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240918000123 WA Part B Supplier - Clinic/Group Practice 7810438801 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane Valley, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2311998Worthy Wellness826 N Mullan Rd Ste B, Spokane, WA 99206Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

826 N Mullan Rd
Spokane Valley, WA 99206
Phone (509) 342-7411

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1063276798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N WOODLAWN RD",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160976",
            "telephone_number": "509-342-7411",
            "fax_number": "509-342-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N MULLAN RD STE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064094",
            "telephone_number": "509-342-7411",
            "fax_number": "509-342-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "WORTHY",
        "authorized_official_first_name": "BRITTANEE",
        "authorized_official_middle_name": "RICHELE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "509-342-7411",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collaborative Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.