Active NPI
Kimberly A Woudsma-Worth, D.C.
- Chiropractor
- Lafayette Hill, PA
National Provider Identifier
1861430878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC008025L
- Practice address
- 606 Germantown Pike
Lafayette Hill, PA 19444-1802 - Phone
- (215) 836-8888
- Fax
- (215) 836-1588
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC008025L | PA | Primary |
Addresses
Primary practice location
606 Germantown Pike
Lafayette Hill, PA 19444-1802
Mailing address
606 Germantown Pike
Lafayette Hill, PA 19444-1802
Phone (215) 836-8888
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WO1586226 | Other | PA | PA BLUE SHIELD PROVIDER N |
| 7787438 | Other | PA | AETNA PPO PROVIDER # |
| 2269666000 | Other | PA | KEYSTONE HMO PROVIDER NUM |
| 3047392 | Other | PA | AETNA HMO PROVIDER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woudsma Worth Chiropractic Associates | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- New Hope, PA
- NPI 1427354877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1861430878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441802",
"telephone_number": "215-836-8888",
"fax_number": "215-836-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441802",
"telephone_number": "215-836-8888",
"fax_number": "215-836-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOUDSMA-WORTH",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC008025L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD PROVIDER N",
"identifier": "WO1586226",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO PROVIDER #",
"identifier": "7787438",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HMO PROVIDER NUM",
"identifier": "2269666000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO PROVIDER",
"identifier": "3047392",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.