Indra Warren

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

281415 Issued in NY

Practice address

1111 Amsterdam Ave
Gme, Mt. Sinai St. Luke'S, Plant Building, Ground Floor
New York, NY 10025-1716

Phone

(212) 523-2154

NPI assigned

Aug 24, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1295102416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W 75TH ST APT 11D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232010",
            "telephone_number": "647-502-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "address_2": "GME, MT. SINAI ST. LUKE'S, PLANT BUILDING, GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "INDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "281415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ellen Warren, PSY.D.
• Betsy Hernandez Warren, R.N., FNP-BC
• Daniel T Warren, M.D.
• Elizabeth Warren
• Floyd Warren, MD
• Jraejah Warren
• Judith Jordan Warren, PHD
• Julia Anne Warren, PMHNP-BC
• Justine Warren, NP
• Kate Nicole Warren, DO

• Student in an Organized Health Care Education/Training Program in New York, NY
• Providers in New York, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.