Individual provider Active NPI

Latonjya Worthen, BSN

  • Psychiatric/Mental Health Registered Nurse
  • Sacramento, CA
National Provider Identifier
1821144254
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
95043260 Issued in CA
Practice address
3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone
(916) 283-8280
Fax
(916) 283-8259
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 95043260 CA
Psychiatric/Mental Health Registered Nurse 163WP0808X 95043260 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971

Mailing address

3947 Lennane Dr Ste 110
Sacramento, CA 95834-1971
Phone (916) 283-8280

Other practice location 1

914 Mission Ave
San Rafael, CA 94901-6106
Phone (415) 457-6964

Other practice location 2

411 Picasso Cir
Sacramento, CA 95835-2649
Phone (916) 526-0777

Other names 1

  • Mrs. Latonjya Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
95043260CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1821144254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-283-8280",
            "fax_number": "916-283-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3947 LENNANE DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341971",
            "telephone_number": "916-283-8280",
            "fax_number": "916-283-8259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 Mission Ave",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949016106",
            "country_code": "US",
            "telephone_number": "415-457-6964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Picasso Cir",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958352649",
            "country_code": "US",
            "telephone_number": "916-526-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "LATONJYA",
        "name_prefix": "Miss",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "95043260",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95043260",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATONJYA",
            "last_name": "MOORE",
            "prefix": "MRS.",
            "credential": "BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.