John Clarendon Worthington, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

391361 Issued in CA

Practice address

516 Cypress St
Fort Bragg, CA 95437-5410

Phone

(707) 472-0350

NPI assigned

Jan 23, 2020

Sex

Male

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

Practice roles

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.

• Anchor Health Management, Inc.

  • Psychiatry Physician
  • Fort Bragg, CA
  • NPI 1306681226
  NPD (past)
• Anchor Health Management, Inc.

  • Psychiatry Physician
  • Ukiah, CA
  • NPI 1598524423
  NPD (past)

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1487284980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954821449",
            "telephone_number": "707-462-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 CYPRESS ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375410",
            "telephone_number": "707-472-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "JOHN",
        "middle_name": "CLARENDON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "391361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "3911361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric MDCL GRP
• Matthew Simon Winslow
• John Wiser, MFT
• Womens Health Center
• Jocelyn Woodason
• Brent Douglas Wright, MD
• Sophia Yanez
• James Young, DC
• Zelorides
• Kathryn A Zielesch, PH. D.

• Registered Nurse in Fort Bragg, CA
• Providers in Fort Bragg, 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 1, 2024; 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.