Andrew K Warren, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

12638 Issued in FL

Practice address

1000 Plantation Island Dr S Ste 9
Saint Augustine, FL 32080-3106

Phone

(904) 217-0715

Fax

(904) 217-0746

NPI assigned

Nov 29, 2018

Sex

Male

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

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Changing Tides Chiropractic and Wellness LLCGroup PAC ID 1557691748, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Changing Tides Chiropractic and Wellness LLC

  • Chiropractor
  • Saint Augustine, FL
  • NPI 1184279382
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1043780307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 JASMINE RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320866437",
            "telephone_number": "240-298-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION ISLAND DR S STE 9",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320803106",
            "telephone_number": "904-217-0715",
            "fax_number": "904-217-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ANDREW",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "12638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Mei Ward, COTA/L
• Marc A Warmuth, MD
• Sherry Warner, CRPS, NCPS
• Warren S. Kluger M.D., P.a.
• Warren S. Kluger, MD, PA
• Billie M Warren, PH.D.
• Faith Warren, BT
• Vernon Ricardo Washington, M.A.
• Julie Watson
• Laci Watson

• Chiropractor in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.