Individual provider Active NPI

Robert James Worley, NP

  • Acute Care Nurse Practitioner
  • Northglenn, CO
National Provider Identifier
1427523182
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0994144-NP Issued in CO
Practice address
11900 Grant St # 240
Northglenn, CO 80233-1117
Phone
(303) 603-9970
NPI assigned
Oct 9, 2018
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0994144-NP CO
Acute Care Nurse Practitioner 363LA2100X APN.0994144-NP CO Primary

Addresses

Primary practice location

11900 Grant St # 240
Northglenn, CO 80233-1117

Mailing address

6600 W 26TH Ave
Denver, CO 80214-1069
Phone (770) 883-3969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120001705 CO Practitioner - Nurse Practitioner 3779837273 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0994144-NPCOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 2, 2018 Accepting new patients
Saint Joseph Hospital, Inc Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Jan 12, 2020 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Dec 2, 2018 Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Jan 12, 2020 Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1427523182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 W 26TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802141069",
            "telephone_number": "770-883-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 GRANT ST # 240",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331117",
            "telephone_number": "303-603-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0994144-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0994144-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.