Active NPI
Debra Ann Warndahl, MSN, NNP-BC, ARNP
- Neonatal Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 209014375
- Practice address
- 3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013 - Phone
- (336) 718-3278
- NPI assigned
- May 18, 2006
- Last updated
- Jul 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 5018082 | NC | |
| Neonatal Nurse Practitioner | 363LN0000X | ARNP2004582 | FL | |
| Neonatal Nurse Practitioner | 363LN0000X | 209014375 | IL | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | ARNP2004582 | FL |
Addresses
Primary practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Mailing address
205 Shepherds Bluff Dr
Mooresville, NC 28115-7184
Phone (813) 417-1708
Other practice location 1
2817 Rock Merritt Ave
Fort Liberty, NC 28310-4804
Phone (910) 907-7626
Other practice location 2
124 SW Adams St
Peoria, IL 61602-1308
Phone (309) 308-6785
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0ES0 | Other | FL | BLUE CROSS BLUE SHIELD |
| 308355100 | Medicaid | FL |
Other names 1
- Debra Ann Harwood-Warndahl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP2004582 | FL | MD | Neonatal Nurse Practitioner |
| 5018082 | NC | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Neonatal | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Trinity Medical Center | Past | Accepting new patients |
Locations
2850 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-2242
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
415 N Center St
Hickory, NC 28601
Phone (828) 323-8281
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- dwarndahl1137671@direct.novanthealth.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba DLP FryeCare Neonatology
- Neonatal-Perinatal Medicine Physician
- Hickory, NC
- NPI 1356865067
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba OSF Little Company of Mary Medical Center
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
-
dba OSF Saint Katharine Medical Center
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1063465532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 SHEPHERDS BLUFF DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281157184",
"telephone_number": "813-417-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SILAS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033013",
"telephone_number": "336-718-3278"
}
],
"practiceLocations": [
{
"address_1": "2817 Rock Merritt Ave",
"address_purpose": "LOCATION",
"city": "Fort Liberty",
"state": "NC",
"postal_code": "283104804",
"country_code": "US",
"telephone_number": "910-907-7626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "124 SW Adams St",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616021308",
"country_code": "US",
"telephone_number": "309-308-6785",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARNDAHL",
"first_name": "DEBRA",
"middle_name": "ANN",
"credential": "MSN, NNP-BC, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NC",
"license": "5018082",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "ARNP2004582",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "IL",
"license": "209014375",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "FL",
"license": "ARNP2004582",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y0ES0",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308355100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "HARWOOD-WARNDAHL",
"middle_name": "ANN",
"credential": "MSN, NNP, ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.