Active NPI
Codi Lyn Warnecke, RN
- Registered Nurse
- Silver Bay, MN
National Provider Identifier
1295050177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R179350-7
- Practice address
- 4504 Lax Lake Rd
Silver Bay, MN 55614-3806 - Phone
- (218) 220-8947
- NPI assigned
- Apr 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R179350-7 | MN | Primary |
Addresses
Primary practice location
4504 Lax Lake Rd
Silver Bay, MN 55614-3806
Mailing address
4504 Lax Lake Rd
Silver Bay, MN 55614-3806
Phone (218) 220-8947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 868K1CA | Other | MN | BLUE CROSS BLUE SHEILD |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R179350-7 | MN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caremate Home Health Care, Inc. | Past | Accepting new patients | |
| Caremate Home Health Care, Inc. | Past | Accepting new patients |
Organizations & group practices 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.
-
- Home Health Agency
- St Paul, MN
- NPI 1588734966
-
- Home Health Agency
- Saint Paul, MN
- NPI 1952722464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1295050177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4504 LAX LAKE RD",
"city": "SILVER BAY",
"state": "MN",
"postal_code": "556143806",
"telephone_number": "218-220-8947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 LAX LAKE RD",
"city": "SILVER BAY",
"state": "MN",
"postal_code": "556143806",
"telephone_number": "218-220-8947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNECKE",
"first_name": "CODI",
"middle_name": "LYN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-02",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R179350-7",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "868K1CA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Bay, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.