Individual provider Active NPI

William Longworth, APRN

  • Family Nurse Practitioner
  • Nicholasville, KY
National Provider Identifier
1912399486
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009269 Issued in KY
Practice address
1250 Keene Rd Ste 102
Nicholasville, KY 40356
Phone
(859) 887-6752
Fax
(859) 887-6879
NPI assigned
Feb 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009269 KY Primary
Primary Care Nurse Practitioner 363LP2300X 3009269 KY

Addresses

Primary practice location

1250 Keene Rd Ste 102
Nicholasville, KY 40356

Mailing address

PO Box 936
London, KY 40743-0936

Other practice location 1

642 Monticello Blvd
Lexington, KY 40503-3518
Phone (859) 361-0699

Other practice location 2

470 Linden Ave Ste 5
Harrodsburg, KY 40330-1871
Phone (859) 733-5864

Other identifiers 1

IdentifierTypeStateIssuer
7100347760MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150608003095 KY Practitioner - Nurse Practitioner 4082935697 Reassigns benefits to 4 organizations
I20180625003105 TX Practitioner - Nurse Practitioner 4082935697 Reassigns benefits to 1 organization
I20220827000277 CA Practitioner - Nurse Practitioner 4082935697 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3009269KYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Current Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Community Care Health Network LLC CurrentSince Dec 1, 2025 Accepting new patients
Upperline Healthcare California PC CurrentSince Jan 26, 2026 Accepting new patients
Southcentral Foundation CurrentSince Jun 1, 2018 Accepting new patients
Southcentral Foundation Current Accepting new patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2023 Accepting new patients
Southcentral Foundation Current Accepting new patients
The James B. Haggin Memorial Hospital Inc. Family CurrentSince Jan 4, 2017 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jan 4, 2017 Accepting new patients
Upperline Healthcare California, PC CurrentSince Jan 26, 2026 Accepting new patients
Willits Hospital Inc. CurrentSince Jan 1, 2023 Accepting new patients
Vital Path Care PC CurrentSince Jan 26, 2026 Accepting new patients
Southcentral Foundation Current Accepting new patients
Burbank Podiatry Asscociates Group a Professional Corporation CurrentSince Jan 26, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 26, 2026 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 26, 2026 Accepting new patients
Everside Health Hitachi Harrodsburg Past Accepting new patients
Southcentral Foundation Past Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

4501 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1000

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

241 W Olive Ave
Burbank, CA 91502
Phone (818) 848-5561

345 F St
Ste 100
Chula Vista, CA 91910
Phone (619) 420-3555

308 W 6th St
Ste 205
Corona, CA 92882
Phone (951) 417-4556

16465 Sierra Lakes Pkwy
Ste 240
Fontana, CA 92336
Phone (909) 355-3100

5565 Grossmont Center Dr
Ste 510
La Mesa, CA 91942
Phone (619) 303-7130

2131 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (949) 326-7355

728 N Euclid Ave
Ontario, CA 91762
Phone (909) 984-4759

1038 E Chapman Ave
Orange, CA 92866
Phone (714) 771-4191

3600 Central Ave
Ste 4
Riverside, CA 92506
Phone (951) 355-2956

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

470 Linden Ave
Ste 5
Harrodsburg, KY 40330
Phone (859) 733-5864

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

117 Tradepark Dr
Ste B
Somerset, KY 42503
Phone (606) 679-2773

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDGCA/Endpoint/GFDGCA
  • Direct secure messaging: william.longworth.1@14940.direct.athenahealth.com
  • Direct secure messaging: williamlongworth@kysjhspe.allscriptsdirect.net

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1912399486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 KEENE RD STE 102",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "40356",
            "telephone_number": "859-887-6752",
            "fax_number": "859-887-6879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 Monticello Blvd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405033518",
            "country_code": "US",
            "telephone_number": "859-361-0699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 Linden Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Harrodsburg",
            "state": "KY",
            "postal_code": "403301871",
            "country_code": "US",
            "telephone_number": "859-733-5864",
            "fax_number": "859-733-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGWORTH",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009269",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3009269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100347760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.