Karen Lorene Warden, NP
Individual provider Active NPI Nurse Practitioner · Gobles, MI
NPI 1073253233 · NPPES record last updated Mar 29, 2022
Key facts
- NPI
- 1073253233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4704213122 (MI)
- Practice address
- 36322 County Road 390
Gobles, MI 49055-9072 - Phone
- (269) 492-8106
- NPI assigned
- Mar 29, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250319004264 | MI | Practitioner - Nurse Practitioner | 7113376807 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704213122 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Great Health Medical Mi PC | Current |
Accepting new patients |
Locations
3011 N Center Rd
Flint, MI 48506
Phone (710) 736-0600
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- kwarden@landmarkhealth-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704213122 | MI | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kkwarden1@gmail.com | Other |
Other providers in Gobles, MI
- Clayton Lee Stapert
- Abbigail Thaler
- Tree of Life Counseling and Wellness
- True North Clinical Solutions LLC
- Feliesha Virgo
- Curtis J Woodfield
All providers in Gobles, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.