Active NPI
William Longworth, APRN
- Family Nurse Practitioner
- Nicholasville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3009269
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100347760 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3009269 | KY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcentral Foundation | Current | Accepting new patients | |
| The James B. Haggin Memorial Hospital Inc | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Upperline Healthcare California PC | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| The James B. Haggin Memorial Hospital Inc. | Family | Current | Accepting new patients |
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| The James B. Haggin Memorial Hospital Inc | Current | Accepting new patients | |
| Upperline Healthcare California, PC | Current | Accepting new patients | |
| Willits Hospital Inc. | Current | Accepting new patients | |
| Vital Path Care PC | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Burbank Podiatry Asscociates Group a Professional Corporation | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Southcentral Foundation | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | 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
- https://fhir4.healow.com/fhir/r4/GFDGCA/Endpoint/GFDGCA
- william.longworth.1@14940.direct.athenahealth.com
- 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.
-
- Emergency Medicine Physician
- Harrodsburg, KY
- NPI 1558581785
KY
-
- Foot & Ankle Surgery Podiatrist
- Burbank, CA
- NPI 1659470367
CA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- McGrath, AK
- NPI 1780614263
TX
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- Medicare Defined Swing Bed Hospital Unit
- Harrodsburg, KY
- NPI 1518975556
-
- Family Medicine Physician
- Harrodsburg, KY
- NPI 1396083325
Family
-
- Community Health Clinic/Center
- Kokhanok, AK
- NPI 1043689169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.