Kelly Anne Worster, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1951 Issued in ME

Practice address

222 Saint John St Ste 308
Portland, ME 04102-3067

Phone

(207) 838-5643

NPI assigned

Mar 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kelly Worster Sutherburg Former name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly Worster DC, LLC

  • Chiropractor
  • South Portland, ME
  • NPI 1730587221
  Medicare reassignment NPD Authorized official
• Stonycreek Psychotherapy and Wellness LLC

  • Professional Counselor
  • Portland, ME
  • NPI 1922612936
  NPD (past)

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1194049080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WESTERN AVE STE 209",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062457",
            "telephone_number": "207-838-5643",
            "fax_number": "207-221-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SAINT JOHN ST STE 308",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023067",
            "telephone_number": "207-838-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSTER",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-21",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SUTHERBURG",
            "middle_name": "WORSTER",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Woodworth, MD
• Kysha Woodye, NP
• Ashley Woon
• Vance Wormwood, CRNA
• Vladimir J Wormwood, PA-C
• Jenna Wozer, DO
• Daisy S. Wright, LCSW
• Lindsay Wright, PA
• Nancy Lynne Wright, FNP
• Robin Jeanne Wright, LCSW

• Chiropractor in Portland, ME
• Providers in Portland, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.