Individual provider Active NPI

Christine Ann Worthy, NP

  • Acute Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1851409908
Registry record updated May 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
960018 Issued in NC
Practice address
1001 Blythe Blvd
Suite 300- Adult Cardiology
Charlotte, NC 28203-5866
Phone
(704) 373-0212
Fax
(704) 373-1216
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 121230 NC
Acute Care Nurse Practitioner 363LA2100X 960018 NC Primary

Addresses

Primary practice location

1001 Blythe Blvd
Suite 300- Adult Cardiology
Charlotte, NC 28203-5866

Mailing address

PO Box 601067
Charlotte, NC 28260-1067
Phone (704) 373-0212

Other practice location 1

632 Broadway Ph 12
New York, NY 10012-2614
Phone (800) 731-4254

Other identifiers 3

IdentifierTypeStateIssuer
7000976MedicaidNC
1851409908MedicaidNC
NP0760MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MN, WA, CO, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20210621003060 AZ Practitioner - Nurse Practitioner 2466408869 Reassigns benefits to 2 organizations
I20220304001927 MN Practitioner - Nurse Practitioner 2466408869 Reassigns benefits to 1 organization
I20221221002653 WA Practitioner - Nurse Practitioner 2466408869 Reassigns benefits to 1 organization
I20230106002783 CO Practitioner - Nurse Practitioner 2466408869 Reassigns benefits to 1 organization
I20230110001711 FL Practitioner - Nurse Practitioner 2466408869 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8048MNMDDentist
960018NCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Urgent Care LLC Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 30, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 12, 2022 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Nov 12, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 30, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 1, 2023 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: christine.worthy@450368864321540.direct.elationemr.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1851409908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601067",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601067",
            "telephone_number": "704-373-0212",
            "fax_number": "704-373-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BLYTHE BLVD",
            "address_2": "SUITE 300- ADULT CARDIOLOGY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035866",
            "telephone_number": "704-373-0212",
            "fax_number": "704-373-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Broadway Ph 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHY",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "121230",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "960018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000976",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851409908",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0760",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.