NPIMap

Organization Active NPI

Worsham, PLLC

  • Adult Health Clinical Nurse Specialist
  • La Vernia, TX
National Provider Identifier
1174834741
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
640929 Issued in TX
Legal business name
WORSHAM, PLLC
Practice address
129 Legacy Way
La Vernia, TX 78121-5689
Phone
(888) 826-2776
Fax
(888) 233-1716
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Vanessa Worsham, MSN, APRN, ACNS-BCNPI 1558400721
Title
Owner
Phone
(443) 306-8177

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SA2200X 640929 TX Primary
Adult Health Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SA2200X RN1009630 DC
Adult Health Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SA2200X CNS 9301281 FL

Addresses

Primary practice location

129 Legacy Way
La Vernia, TX 78121-5689

Mailing address

129 Legacy Way
La Vernia, TX 78121-5689
Phone (888) 826-2776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1174834741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LEGACY WAY",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215689",
            "telephone_number": "888-826-2776",
            "fax_number": "888-233-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 LEGACY WAY",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215689",
            "telephone_number": "888-826-2776",
            "fax_number": "888-233-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORSHAM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "WORSHAM",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-306-8177",
        "authorized_official_credential": "MSN, APRN, ACNS-BC"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "640929",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "DC",
            "license": "RN1009630",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "FL",
            "license": "CNS 9301281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vernia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.