Ann Jeanette Kenworthy, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

476129 Issued in CA

Practice address

681 Main St
Suite 100
Placerville, CA 95667-5736

Phone

(530) 626-2990

Fax

(530) 626-2992

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376529677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676533",
            "telephone_number": "530-626-2990",
            "fax_number": "530-626-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 MAIN ST",
            "address_2": "SUITE 100",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675736",
            "telephone_number": "530-626-2990",
            "fax_number": "530-626-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENWORTHY",
        "first_name": "ANN",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "476129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "476129",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Angela Keenan
• Ronald Lee Keil, PHARMACIST
• Keith Boston, M.D. Family Practice
• Alexander Keith, D.M.D.
• Denise Kellaher, D.O.
• Krista Marie Key, SUDRC
• Vida Khaliki, PA
• Nuru Khaliq
• Richard W Kiholm, D.D.S.
• Si Nae Kim

• Registered Nurse in Placerville, CA
• Providers in Placerville, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.