Rebecca Gayle Warren, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

31191A Issued in SC

Practice address

105 Johnathon LN
Easley, SC 29640-6335

Phone

(270) 505-2810

NPI assigned

Dec 25, 2025

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1766620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766620800000",
    "number": "1174489983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JOHNATHON LN",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296406335",
            "telephone_number": "270-505-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 JOHNATHON LN",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296406335",
            "telephone_number": "270-505-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "REBECCA",
        "middle_name": "GAYLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-25",
        "last_updated": "2025-12-25",
        "certification_date": "2025-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "31191A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Ariel Cherie Walker, CNM, APRN
• Shaquelah Walters
• Stephanie Melann Ward, PMHNP
• John Movius Warren Jr., M.D.
• Lindsey Elizabeth Wasson, NP-C
• Mark James Wasylenko, M.D.
• Kayla Akemi Watanabe
• Waters Orthodontics, PA
• David A. Waters, D.M.D.

• Adult Health Nurse Practitioner in Easley, SC
• Providers in Easley, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2025; 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.