Holly Wortley

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

8297985-4405 Issued in UT

Practice address

520 Medical Dr Ste 300
Bountiful, UT 84010-8925

Phone

(801) 292-1422

NPI assigned

Feb 11, 2022

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

Enrolled in UT

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Joshua Oaks MD PLLCGroup PAC ID 0840776688, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeview Hospital Hospital, Bountiful, UT, CCN 460042

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: holly.wortley.1@16218.direct.athenahealth.com

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.

• Joshua Oaks MD PLLC

  • Internal Medicine Physician
  • Bountiful, UT
  • NPI 1184125668
  Medicare reassignment Care Compare group NPD
• Joshua Brad Oaks, M.D.

  • Internal Medicine Physician
  • Bountiful, UT
  • NPI 1205221405
  Medicare reassignment
• Steven S Salisbury, MD

  • Internal Medicine Physician
  • Logan, UT
  • NPI 1235191495
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Corporation of Utah

  • General Acute Care Hospital
  • Bountiful, UT
  • NPI 1528010451
  Care Compare affiliation

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1720732308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR STE 300",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108925",
            "telephone_number": "801-292-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR STE 300",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108925",
            "telephone_number": "801-292-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTLEY",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "8297985-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lelajane Wixom, RBT
• Danielle Hillary Wood
• Kenzlee Wooden
• Woodmead Medical Clinic PLLC
• Clint John Wooten, MD
• Alice Fern Wynn, MA
• Jennifer W Wyson, DMD
• Melissa Yamashiro, PA
• Megan Yardley
• Tyler Yeaman

• Primary Care Nurse Practitioner in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Primary Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.