Active NPI
Tracy Worley, CNM
- Family Nurse Practitioner
- Spokane, WA
National Provider Identifier
1356874259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60770492
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP60770492 | WA | MD | Family Nurse Practitioner |
| 55472 | ID | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Family Medicine Physician
- Ellensburg, WA
- NPI 1003061920
-
- Family Medicine Physician
- Spokane, WA
- NPI 1346226750
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.