Walter Warner III

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1081 Aurora Dr
Fairbanks, AK 99709-5508

Phone

(907) 457-7759

Fax

(907) 457-7481

NPI assigned

Feb 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Warner' Care

  • Lodging Provider
  • Fairbanks, AK
  • NPI 1598632853
  NPD (past) Authorized official

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1285024877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 AURORA DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095508",
            "telephone_number": "907-457-7759",
            "fax_number": "907-457-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 AURORA DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095508",
            "telephone_number": "907-457-7759",
            "fax_number": "907-457-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "WALTER",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-03",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AK",
            "license": "293586",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheri Ward, LMT
• Ryan Wardle
• Sheree Warner Nyren, LMT
• Brookemadison Olufunke Warner
• Kweka Warner
• Warner' Care
• Shondra Shree Washington
• John Waters
• Amanda Watkins
• Gregory Watkins

• Home Health Aide in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Home Health Aide in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.