Individual provider Active NPI

Najwa NA-Imah Worthen, DC, MPH, RD

  • Registered Dietitian
  • Orange City, FL
National Provider Identifier
1942562236
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 4355 Issued in FL
Practice address
1340 7TH St
Orange City, FL 32763-3620
Phone
(386) 956-5945
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10557 FL
Registered Dietitian 133V00000X ND 4355 FL Primary

Addresses

Primary practice location

1340 7TH St
Orange City, FL 32763-3620

Mailing address

1340 7TH St
Orange City, FL 32763-3620
Phone (386) 956-5945

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

State licenses

LicenseStateTypeSpecialty
CH 10557FLMDChiropractor
ND 4355FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Bensen, DC PA Chiropractor CurrentSince Sep 7, 2012 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

1028 NW 13th St
Gainesville, FL 32601
Phone (352) 373-9911

Organizations & group practices 2

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1942562236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 7TH ST",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633620",
            "telephone_number": "386-956-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 7TH ST",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633620",
            "telephone_number": "386-956-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "NAJWA",
        "middle_name": "NA-IMAH",
        "name_prefix": "Dr.",
        "credential": "DC, MPH, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10557",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND 4355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.