Individual provider Active NPI

Kathy S. Worley, FNP

  • Nurse Practitioner
  • Gretna, VA
National Provider Identifier
1750388674
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024102880 Issued in VA
Practice address
213 Windy Rd
Gretna, VA 24557-4004
Phone
(434) 324-9150
Fax
(434) 324-8248
NPI assigned
Jul 7, 2005
Last updated
Jul 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024102880 VA Primary

Addresses

Primary practice location

213 Windy Rd
Gretna, VA 24557-4004

Mailing address

213 Windy Rd
Gretna, VA 24557-4004
Phone (434) 324-9150

Other identifiers 2

IdentifierTypeStateIssuer
P00412956OtherMEDICARE RAILROAD PROVIDER NUMBER
010112991MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20031106000783 VA Practitioner - Nurse Practitioner 7012820905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Oct 1, 2023 Accepting new patients
Rehabilitation Associates of Central Virginia, Inc. PastSince Nov 2, 2006 Accepting new patients

Locations

1280 Main St
#A
Altavista, VA 24517
Phone (434) 309-1165

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

3300 Rivermont Ave
Lynchburg, VA 24503
Phone (434) 200-4668

Organizations & group practices 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1750388674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WINDY RD",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245574004",
            "telephone_number": "434-324-9150",
            "fax_number": "434-324-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WINDY RD",
            "city": "GRETNA",
            "state": "VA",
            "postal_code": "245574004",
            "telephone_number": "434-324-9150",
            "fax_number": "434-324-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "KATHY",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024102880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROVIDER NUMBER",
            "identifier": "P00412956",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010112991",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, VA

Sources for this page

Verify at the official NPI Registry.