Individual provider Active NPI

Kelli E Worman, PHDHP, RDH

  • Dental Hygienist
  • Telford, PA
National Provider Identifier
1194463927
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
PHDH001154 Issued in PA
Practice address
669 Gerhart LN
Telford, PA 18969-2417
Phone
(215) 527-5034
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X PHDH001154 PA Primary

Addresses

Primary practice location

669 Gerhart LN
Telford, PA 18969-2417

Mailing address

669 Gerhart LN
Telford, PA 18969-2417
Phone (215) 527-5034

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PHDH001154PAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1194463927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 GERHART LN",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692417",
            "telephone_number": "215-527-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 GERHART LN",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692417",
            "telephone_number": "215-527-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMAN",
        "first_name": "KELLI",
        "middle_name": "E",
        "credential": "PHDHP, RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH001154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.