Kara Michele Wortley, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1145 Sturgis Road
Naval Hospital Twentynine Palms
Twentynine Palms, CA 92278-1831

Phone

(760) 830-2617

NPI assigned

Dec 3, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1386946853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788250",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922788250",
            "telephone_number": "760-830-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 STURGIS ROAD",
            "address_2": "NAVAL HOSPITAL TWENTYNINE PALMS",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922781831",
            "telephone_number": "760-830-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTLEY",
        "first_name": "KARA",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine P Willis
• Antoinette Renee Wilson, LPC
• Tasha Marie Wilson, NP
• Kenneth Wise, MD
• Amy Wootten, CNM
• Heather Lynn Wruck-Wells, ATC
• Ryan Victoria Yackel
• Elizabeth Janine Ybarra, MSN, RN, CSN
• Yucca Valley Family Medical Associates, Inc.
• Kelli Zackary, R.N.

• Physician Assistant in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.