Kayla D'Lisa Rene Worley, DNP, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209016878 Issued in IL

Practice address

931 E Elliot Rd Ste 107
Tempe, AZ 85284-1583

Phone

(480) 827-5640

NPI assigned

Nov 26, 2017

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Endeavor Health Medical Group

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882
  Medicare reassignment NPD
• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• Planned Parenthood Arizona

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1083694160
  NPD (past)

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1508370784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022402",
            "telephone_number": "773-253-3933",
            "fax_number": "773-437-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E ELLIOT RD STE 107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841583",
            "telephone_number": "480-827-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "60302",
            "country_code": "US",
            "telephone_number": "773-253-3933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "60302",
            "country_code": "US",
            "telephone_number": "773-253-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "KAYLA",
        "middle_name": "D'LISA RENE",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-26",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "2017013863",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodtransportation
• Allison Nichole Woodworth, F.N.P.
• Abigail S. Wool - Biringer, OTR/L
• Dorothy Ayobami Worika
• Tonya Workman, APRN
• Spencer Worthen
• Wound Care Associates LLC
• Wound Care Health Group
• Woundcare Pros
• Wright Light LLC

• Family Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.