Wanda G Warner, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04212 Issued in LA

Practice address

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Phone

(225) 358-1000

NPI assigned

Nov 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Math Science and Art Academy Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Saint Gabriel, LA
  • NPI 1093006249
  NPD (past)
• St. Gabriel Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baton Rouge, LA
  • NPI 1093371494
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wwarner8664@direct.casso.us.com
• Direct secure messaging: wanda.warner.1@16720.direct.athenahealth.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73006

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1194979211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708052408",
            "telephone_number": "225-358-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 Claycut Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708067213",
            "country_code": "US",
            "telephone_number": "225-930-8155",
            "fax_number": "225-930-9954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10100 Goodwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708154521",
            "country_code": "US",
            "telephone_number": "225-924-7707",
            "fax_number": "225-926-9467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13801 Pride Port Hudson Rd",
            "address_purpose": "LOCATION",
            "city": "Pride",
            "state": "LA",
            "postal_code": "707709200",
            "country_code": "US",
            "telephone_number": "225-654-4830",
            "fax_number": "225-658-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4336 North Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063920",
            "country_code": "US",
            "telephone_number": "225-343-9505",
            "fax_number": "225-343-9141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9147 Elmgrove Garden Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708074308",
            "country_code": "US",
            "telephone_number": "225-774-8953",
            "fax_number": "225-778-2704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1676 Glasgow Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708088631",
            "country_code": "US",
            "telephone_number": "225-924-7709",
            "fax_number": "225-926-9546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6650 Cedar Grove Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708121167",
            "country_code": "US",
            "telephone_number": "225-526-4325",
            "fax_number": "225-355-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "WANDA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN085964",
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "LA",
            "license": "AP04212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1479721",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wwarner8664@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wwarner8664@direct.casso.us.com",
            "address_1": "9147 Elmgrove Garden Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708074308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9147 Elmgrove Garden Dr",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708074308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Candace B. Warner, M.D.
• Larry Wedell Warner Jr., MD
• Meredith Ann Warner, M.D.
• Shanna R Warner, D.D.S
• Ursula Warner
• Jennifer S Warr, CRNA
• Aaliyah Alexis Warren
• Bianca Necara Warren
• Caroline Warren
• Joshua Andre Warren Jr.

• All providers in Baton Rouge, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.