Active NPI
Jodie B Worthington, CNM, WHNP-BC
- Women's Health Nurse Practitioner
- Pasco, WA
National Provider Identifier
1316938095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP60857005
- Practice address
- 3901 W Court St
Pasco, WA 99301-2776 - Phone
- (866) 904-7721
- Fax
- (505) 545-8932
- NPI assigned
- Nov 2, 2005
- Last updated
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP60857005 | WA | Primary |
| Advanced Practice Midwife | 367A00000X | MW010157 | PA |
Addresses
Primary practice location
3901 W Court St
Pasco, WA 99301-2776
Mailing address
3901 W Court St
Pasco, WA 99301-2776
Phone (866) 904-7721
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
Interoperability endpoints
- jworthington936702@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1316938095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993012776",
"telephone_number": "866-904-7721",
"fax_number": "509-545-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993012776",
"telephone_number": "866-904-7721",
"fax_number": "505-545-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHINGTON",
"first_name": "JODIE",
"middle_name": "B",
"credential": "CNM, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP60857005",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "PA",
"license": "MW010157",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.