Active NPI
Warren Dalton McDonald, N.P
- Adult Health Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1265408231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 92662
- Practice address
- 320 E Fontanero St
Colorado Springs, CO 80907-7529 - Phone
- (719) 327-5660
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 92662 | CO | Primary |
Addresses
Primary practice location
320 E Fontanero St
Colorado Springs, CO 80907-7529
Mailing address
320 E Fontanero St
Colorado Springs, CO 80907-7529
Phone (719) 327-5660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201002001715 | CO | Order and Referring Only - Nurse Practitioner | 4981023306 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92662 | CO | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1265408231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E FONTANERO ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077529",
"telephone_number": "719-327-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E FONTANERO ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809077529",
"telephone_number": "719-327-5660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "WARREN",
"middle_name": "DALTON",
"name_prefix": "Mr.",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "92662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.