Individual provider Active NPI

Elizabeth Amick Worley, DNP

  • Family Nurse Practitioner
  • Smithfield, UT
National Provider Identifier
1982125597
Registry record updated Mar 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11866364-8900 Issued in UT
Practice address
1177 S Main St
Smithfield, UT 84335-6764
Phone
(359) 948-0534
Fax
(435) 994-8054
NPI assigned
Jul 5, 2017
Last updated
Mar 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11866364-8900 UT Primary
Nurse Practitioner 363L00000X 201802256NP-PP OR
Nurse Practitioner 363L00000X ARNP9390831 FL

Addresses

Primary practice location

1177 S Main St
Smithfield, UT 84335-6764

Mailing address

1177 S Main St
Smithfield, UT 84335-6764
Phone (435) 994-8053

Other names 1

  • Elizabeth Worley Zdunich Former name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201802256NP-PPORMDNurse Practitioner
11866364-8900UTMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: elizabeth.worley@3879.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1982125597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 S MAIN ST",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843356764",
            "telephone_number": "435-994-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 S MAIN ST",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843356764",
            "telephone_number": "359-948-0534",
            "fax_number": "435-994-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "ELIZABETH",
        "middle_name": "AMICK",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11866364-8900",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201802256NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9390831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "ZDUNICH",
            "middle_name": "WORLEY",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smithfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.