Individual provider Active NPI

Lisa Renee Warrington, APRN

  • Family Nurse Practitioner
  • Shawnee, OK
National Provider Identifier
1245703099
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R73703 Issued in OK
Practice address
12 E Macarthur St
Shawnee, OK 74804-2135
Phone
(405) 275-1001
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R73703 OK Primary

Addresses

Primary practice location

12 E Macarthur St
Shawnee, OK 74804-2135

Mailing address

5829 W Villas CT
Stillwater, OK 74074-2016
Phone (405) 269-1207

Other practice location 1

5829 W Villas Ct
Stillwater, OK 74074-2016
Phone (405) 269-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20191223000679 OK Practitioner - Nurse Practitioner 9830523075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians
Advance Physicians GroupGroup PAC ID 0244122083, 23 clinicians

Practice addresses (Care Compare)

411 W Grand Ave
Xpress Wellness Urgent Care
Chickasha, OK 73018-5862
Phone (405) 224-0053

4510 NW 39TH St
Oklahoma City, OK 73122-2503
Phone (405) 495-5841

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R73703OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Nov 19, 2019 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Nov 19, 2019 Accepting new patients
Advance Physicians Group CurrentSince Dec 15, 2024 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

411 W Grand Ave
Chickasha, OK 73018
Phone (405) 224-0053

411 W 3rd St
Elk City, OK 73644
Phone (580) 303-9293

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

4510 NW 39th St
Oklahoma City, OK 73122
Phone (405) 495-5841

12 E MacArthur St
Shawnee, OK 74804
Phone (405) 275-1001

4010 N Kickapoo Ave
Ste 3
Shawnee, OK 74804
Phone (405) 759-4300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1245703099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5829 W VILLAS CT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740742016",
            "telephone_number": "405-269-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E MACARTHUR ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042135",
            "telephone_number": "405-275-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5829 W Villas Ct",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740742016",
            "country_code": "US",
            "telephone_number": "405-269-1207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARRINGTON",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R73703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

Verify at the official NPI Registry.