Roosevelt Hezekiah Wortham-Florence, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.0029130 Issued in OH

Practice address

3420 Atrium Blvd Ste 160
Middletown, OH 45005-5186

Phone

(937) 321-0002

Fax

(937) 637-5251

NPI assigned

Sep 16, 2016

Sex

Male

Sole proprietor

Yes

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 OH, NE, AR, TX, NY, ME, KY, CA, MD9 enrollments

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 9

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Brookview Medical Associates, PLLC

  • General Practice Physician
  • Bohemia, NY
  • NPI 1871965855
  Medicare reassignment NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR, MD, NE

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY, ME, OH

  Medicare reassignment NPD
• Wortham & Florence Enterprises LLC

  • Family Nurse Practitioner
  • Middletown, OH
  • NPI 1477441681
  NPD Authorized official

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1780132852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 ATRIUM BLVD STE 160",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055186",
            "telephone_number": "937-321-0002",
            "fax_number": "937-637-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 ATRIUM BLVD STE 160",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450055186",
            "telephone_number": "937-321-0002",
            "fax_number": "937-637-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHAM-FLORENCE",
        "first_name": "ROOSEVELT",
        "middle_name": "HEZEKIAH",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Wood
• Lisa Wood, RN
• Lisa Marie Wooldridge, CNA
• Meghan Wooten
• Wortham & Florence Enterprises LLC
• Todd Matthew Worthington, DC
• Timothy Nicholas Wourms, M.D.
• Mallory Wright, LSW
• Myra Wright, APRN
• Jinhui Xu

• Family Nurse Practitioner in Middletown, OH
• Providers in Middletown, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; 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.