Individual provider Active NPI

Karen Lorene Warden, NP

  • Nurse Practitioner
  • Gobles, MI
National Provider Identifier
1073253233
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704213122 Issued in MI
Practice address
36322 County Road 390
Gobles, MI 49055-9072
Phone
(269) 492-8106
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704213122 MI Primary

Addresses

Primary practice location

36322 County Road 390
Gobles, MI 49055-9072

Mailing address

36322 County Road 390
Gobles, MI 49055-9072
Phone (269) 492-8106

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kkwarden1@gmail.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319004264 MI Practitioner - Nurse Practitioner 7113376807 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704213122MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Health Medical Mi PC CurrentSince Jan 9, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients

Locations

3011 N Center Rd
Flint, MI 48506
Phone (710) 736-0600

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 999-0138

407 Willoughby Ave
Brooklyn, NY 11205

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kwarden@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1073253233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36322 COUNTY ROAD 390",
            "city": "GOBLES",
            "state": "MI",
            "postal_code": "490559072",
            "telephone_number": "269-492-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36322 COUNTY ROAD 390",
            "city": "GOBLES",
            "state": "MI",
            "postal_code": "490559072",
            "telephone_number": "269-492-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "KAREN",
        "middle_name": "LORENE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704213122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kkwarden1@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "kkwarden2@gmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "password protected email",
            "address_1": "36322 County Road 390",
            "city": "Gobles",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490559072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gobles, MI

Sources for this page

Verify at the official NPI Registry.