Individual provider Active NPI

Twila Worlock, DNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1871531616
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60868627 Issued in WA
Practice address
708 W Forest Ave
Jackson, TN 38301
Phone
(731) 541-7070
Fax
(731) 541-7075
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 104755 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60868627 WA Primary

Addresses

Primary practice location

708 W Forest Ave
Jackson, TN 38301

Mailing address

1050 N Argonne Rd Ste 102
Spokane Valley, WA 99212-6011
Phone (509) 209-8990

Other identifiers 4

IdentifierTypeStateIssuer
4089638OtherTNBLUE CROSS
03470247MedicaidMS
3633676MedicaidTN
P00216880OtherRAILROAD MEDICARE

Other names 1

  • Twila Curtice Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
11321TNMDPharmacist
AP60868627WAMDPsychiatric/Mental Health Nurse Practitioner
104755TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medicos General PLLC Psychiatric/Mental Health CurrentSince Sep 30, 2024 Accepting new patients
Medical Anesthesia Group, PA PastSince Feb 24, 1997 Accepting new patients
Cardiac Anesthesia Group PastSince Jun 1, 2001 Accepting new patients
Anesthesia Associates, PS Past Accepting new patients
Jackson Clinic PA Past Accepting new patients
Professional Anesthesia Associates Past Accepting new patients
Pathways of Washington, LLC PastSince Jul 24, 2022 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Pathways of Washington, LLC PastSince Apr 15, 2016 Accepting new patients

Locations

3040 Covington Pike
Ste 100
Memphis, TN 38128

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

3030 Covington Pike
Ste 200
Memphis, TN 38128
Phone (901) 266-8760

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1871531616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N ARGONNE RD STE 102",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992126011",
            "telephone_number": "509-209-8990",
            "fax_number": "509-919-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-541-7070",
            "fax_number": "731-541-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLOCK",
        "first_name": "TWILA",
        "name_prefix": "Dr.",
        "credential": "DNP PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "104755",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60868627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4089638",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03470247",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3633676",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00216880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TWILA",
            "last_name": "CURTICE",
            "credential": "MSN CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.