COLLABORATIVE WELLNESS
NPI 1063276798
Nurse Practitioner in Spokane Valley, WA

NPI Status: Active since February 13, 2024

Contact Information

826 N MULLAN RD STE B
SPOKANE VALLEY, WA
ZIP 99206
Phone: (509) 342-7411
Fax: (509) 342-7413

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 50D2311998
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About COLLABORATIVE WELLNESS

This page provides the complete NPI Profile along with additional information for Collaborative Wellness, a provider established in Spokane Valley, Washington operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1063276798 assigned on February 2024. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Collaborative Wellness operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Collaborative Wellness. The authorized official of this NPI record is Brittanee Richele Worthy Np (Fnp)

NPI
1063276798
Provider Legal Name
WORTHY WELLNESS LLC
Other Organization Name
COLLABORATIVE WELLNESS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
826 N MULLAN RD STE B SPOKANE VALLEY, WA 99206
Location Phone
(509) 342-7411
Location Fax
(509) 342-7413
Mailing Address
620 N WOODLAWN RD SPOKANE VALLEY, WA 99216
Mailing Phone
(509) 342-7411
Mailing Fax
(509) 342-7413
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2024
Last Update Date
12-10-2024
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A nurse practitioner (NP) like Collaborative Wellness is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRITTANEE RICHELE WORTHY NP

Authorized Official Title
FNP
Authorized Official Phone
(509) 342-7411

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2311998
Facility Type
Physician Office
Certificate Effective Date
October 02, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
BRITTANEE WORTHY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Collaborative Wellness to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063276798
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201234712718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 4 + 7 + 1 + 2 + 7 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1063276798 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

JENEFER LEE WILIE LMP

Specialist

826 N MULLAN RD STE B
SPOKANE VALLEY, WA
ZIP 99206

(509) 928-8550

CHRISTINE A PRATT PHLEBOTOMIST

Technician, Pathology

(Phlebotomy)

826 N MULLAN RD STE B
SPOKANE VALLEY, WA
ZIP 99206

(509) 216-8998

JAIME KEY ARNP

Nurse Practitioner

(Family)

826 N MULLAN RD STE B
SPOKANE VALLEY, WA
ZIP 99206

(509) 342-7411

KEYSTONE PSYCHIATRY & WELLNESS PLLC

Nurse Practitioner

(Family)

826 N MULLAN RD STE B
SPOKANE VALLEY, WA
ZIP 99206

(509) 342-7411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063276798, enumerated as an "organization" on February 13, 2024.

The provider is located at 826 N MULLAN RD STE B SPOKANE VALLEY, WA 99206 and the phone number is (509) 342-7411.

Nurse Practitioner with taxonomy code 363L00000X.