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DR. KEANNA G WORTHY DO
NPI 1124684451
Family Medicine in Puyallup, WA

Active since May 13, 2019PECOS Enrolled
1322 3RD ST SE STE 240, PUYALLUP, WA 98372(253) 697-1420 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, May 13, 2019 (2 updates tracked since 2019).

About Dr. Keanna G Worthy Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEANNA G WORTHY DO (NPI 1124684451) is an individual family medicine provider in Puyallup, Washington, licensed in Washington (OL70024377) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124684451
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEANNA G WORTHYCredential: DO
Location Address1322 3RD ST SE STE 240Puyallup, WA 98372-3771
Mailing Address3061 Mcneil StDupont, WA 98327-8779 · (253) 697-1420
Phone(253) 697-1420
Sole ProprietorNo
Enumeration DateMay 13, 2019
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1124684451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OL70024377
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-18-70458 (MO)
1322 3RD ST SE STE 240, Puyallup, WA 98372
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Other Names 1

Former Name (1)Dr. Keanna Gloria Worthy Do

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keanna G Worthy Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TORI ALYSSA KORNELSEN MB BCH BAO
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (235) 697-1420
ALEXINNA CIANA JOHNS M.D.
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-5757
DR. STEPHEN ROBERT DURKEE JR. MD
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
MATHEW DICKSON DO
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
BRIAN DAVID LAY D.O.
Family Medicine
1322 3RD ST SE STE 240, MS 1322-2-EFM
PUYALLUP, WA 98372
Pierce County (253) 697-1420
KHUSHBU SODHI ATWAL DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
ROBERT THOMAS MEYER
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
SARAH HAMPTON DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keanna Worthy's NPI number?

The NPI number for Keanna Worthy is 1124684451. It was assigned to this individual provider in the NPPES registry on May 13, 2019. The provider is also known as Dr. Keanna Gloria Worthy Do.

Where is Keanna Worthy located?

Keanna Worthy practices at 1322 3rd St SE Ste 240, Puyallup, WA 98372. The listed phone number is (253) 697-1420.

What is Keanna Worthy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keanna Worthy enrolled in Medicare?

Yes. Keanna Worthy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keanna Worthy was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.