Individual provider Active NPI

Tracy Worley, CNM

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1356874259
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60770492 Issued in WA
Practice address
123 E Indiana Ave
Spokane, WA 99207-2313
Phone
(866) 907-7721
Fax
(509) 545-8932
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 55472 ID
Family Nurse Practitioner 363LF0000X AP60770492 WA Primary

Addresses

Primary practice location

123 E Indiana Ave
Spokane, WA 99207-2313

Mailing address

3901 W Court St
Pasco, WA 99301-2776
Phone (509) 473-0305

Other practice location 1

4486 Bardwell Dr
Coeur D Alene, ID 83815-5218
Phone (208) 640-3155

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP60770492WAMDFamily Nurse Practitioner
55472IDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Washington & North Idaho Past Accepting new patients
Planned Parenthood of Greater Washington & North Idaho Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tracy.worley.1@13077.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1356874259",
    "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": "509-473-0305",
            "fax_number": "509-545-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E INDIANA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992072313",
            "telephone_number": "866-907-7721",
            "fax_number": "509-545-8932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4486 Bardwell Dr",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838155218",
            "country_code": "US",
            "telephone_number": "208-640-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "TRACY",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "55472",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60770492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.