Active NPI
Stacey Worthington
- Durable Medical Equipment & Medical Supplies
- Midlothian, VA
National Provider Identifier
1982908810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- S261038-6
- Practice address
- 8437 Hillcreek Dr
Midlothian, VA 23112-6807 - Phone
- (804) 814-3180
- NPI assigned
- Jan 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | S261038-6 | VA | Primary |
Addresses
Primary practice location
8437 Hillcreek Dr
Midlothian, VA 23112-6807
Mailing address
8437 Hillcreek Dr
Midlothian, VA 23112-6807
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S261038-6 | VA | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1982908810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8437 HILLCREEK DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8437 HILLCREEK DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231126807",
"telephone_number": "804-814-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHINGTON",
"first_name": "STACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "VA",
"license": "S261038-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.