Nicole Elise Worthey, CDCA, PRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

14401 Kingsford Ave
Cleveland, OH 44128-1071

Phone

(216) 971-2253

NPI assigned

Oct 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• -

  • Peer Specialist
  • Cleveland, OH
  • NPI 1396423265
  NPD Authorized official

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1962978320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14401 KINGSFORD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281071",
            "telephone_number": "216-971-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 KINGSFORD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441281071",
            "telephone_number": "216-971-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEY",
        "first_name": "NICOLE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "CDCA, PRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Pauline Wormald, PA-C
• Aleea Rose Worsham
• Anna Worthams
• Dorien Worthen, LPN
• Angel Worthey
• Brittany S Worthy
• Carlotta Worthy
• Vanessa Wortmann, LSW
• Daniel Wortor
• Arianna Stephanie Wos

• Peer Specialist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.