Kerry Ellen Warburton, R.N.

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

RN594297 Issued in PA

Practice address

350 W Crestview Ave
Boalsburg, PA 16827-1370

Phone

(814) 466-2867

Fax

(814) 466-2867

NPI assigned

Nov 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257638400000",
    "number": "1083941371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W CRESTVIEW AVE",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271370",
            "telephone_number": "814-466-2867",
            "fax_number": "814-466-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W CRESTVIEW AVE",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271370",
            "telephone_number": "814-466-2867",
            "fax_number": "814-466-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARBURTON",
        "first_name": "KERRY",
        "middle_name": "ELLEN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-08",
        "last_updated": "2009-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN594297",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "PA",
            "license": "RN594297",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN594297",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "RN594297",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "PA",
            "license": "RN594297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Robert Stoehr III, PT
• Karen Lee Tempest, DNP, CRNP
• Michael D. Tinkelman, O.D.
• Undeniably Fit, LLC
• Andrew Walker, DC
• Amanda Dawn Woodle Stewart

• Gerontology Registered Nurse in Boalsburg, PA
• Providers in Boalsburg, PA by specialty
• Gerontology Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.