Active NPI
Jennifer Warren
- Family Nurse Practitioner
- Spur, TX
National Provider Identifier
1285787762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 547038
- Practice address
- 907 E Hill St
Spur, TX 79370-2532 - Phone
- (806) 271-3306
- Fax
- (806) 271-4256
- NPI assigned
- Jan 19, 2007
- Last updated
- May 9, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 547038 | TX | Primary |
Addresses
Primary practice location
907 E Hill St
Spur, TX 79370-2532
Mailing address
907 E Hill St
Spur, TX 79370-2532
Phone (806) 271-3306
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063674801 | Other | TX | RURAL HEALTH CLINIC TPI # |
| 1093868556 | Other | TX | RURAL HEALTH CLINIC NPI # |
| 00081N | Other | TX | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 547038 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1285787762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 E HILL ST",
"city": "SPUR",
"state": "TX",
"postal_code": "793702532",
"telephone_number": "806-271-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E HILL ST",
"city": "SPUR",
"state": "TX",
"postal_code": "793702532",
"telephone_number": "806-271-3306",
"fax_number": "806-271-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "547038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL HEALTH CLINIC TPI #",
"identifier": "063674801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RURAL HEALTH CLINIC NPI #",
"identifier": "1093868556",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00081N",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.