Individual provider Active NPI

Lindsay Andre Worrell, M.B. B.S. FAAP

  • Pediatrics Physician
  • Silver City, NM
National Provider Identifier
1689630378
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD2012-0045 Issued in NM
Practice address
1313 E 32ND St
Silver City, NM 88061-7251
Phone
(575) 956-5909
NPI assigned
Apr 22, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD2012-0045 NM Primary
Pediatrics Physician 208000000X 23008 MS

Addresses

Primary practice location

1313 E 32ND St
Silver City, NM 88061-7251

Mailing address

3185 N Leslie Rd
Silver City, NM 88061-7211
Phone (575) 534-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191111000973 NM Practitioner - Pediatric Medicine 2466517016 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23008MSMDPediatrics Physician
MD2012-0045NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gila Regional Medical Center CurrentSince Sep 8, 2019 Accepting new patients
Gila Regional Medical Center Family Medicine CurrentSince Sep 8, 2019 Accepting new patients
Gila Regional Medical Center Current Accepting new patients
Cibola General Hospital Corporation CurrentSince Feb 21, 2023 Accepting new patients

Locations

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

3185 N Leslie Rd
Silver City, NM 88061
Phone (505) 388-3393

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1689630378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 N LESLIE RD",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617211",
            "telephone_number": "575-534-0400",
            "fax_number": "575-534-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E 32ND ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617251",
            "telephone_number": "575-956-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORRELL",
        "first_name": "LINDSAY",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.B. B.S. FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2012-0045",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "23008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.