Maria Olivia Wormley

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

496266 Issued in CA

Practice address

200 Mercy Circle
Camp Pendleton, CA 92055

Phone

(760) 719-3349

Fax

(760) 725-1515

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1235893330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-719-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-719-3349",
            "fax_number": "760-725-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMLEY",
        "first_name": "MARIA",
        "middle_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "496266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Wilson, NP
• Zachary Dewitt Wilson, IDC
• Erin Wippermann, PT, DPT, OCS, CSCS
• Lawrence Alvin Wood, MD
• Savannah Lee Woodward, M.D.
• William Bruce Worthington, PA-C
• James K Writer, M.D.
• Yuankun Xia, ATP
• Jiahong Jeffrey Yang, DO
• Priya A Yellayi, M.D.

• Case Management Registered Nurse in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.