London Wulan Warsito

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

478488 Issued in FL

Practice address

3210 Champion Ring Rd
Fort Myers, FL 33905-5768

Phone

(239) 266-0755

NPI assigned

Jul 13, 2026

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

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306765680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 CHAMPION RING RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055768",
            "telephone_number": "239-266-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 CHAMPION RING RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339055768",
            "telephone_number": "239-266-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSITO",
        "first_name": "LONDON",
        "middle_name": "WULAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "478488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warner Chiropractic LLC
• Thomas H Warner, CRNA
• Shaun Warren
• Isabel Warrick
• Nisha Pulpet Warrier, MD
• Michael Bruce Wartels, MD
• Frank Charles Wartinger, AU.D.
• Rowan Jamal Washah
• Jennifer Denise Washburn, MS,OTR
• Michael E Washburn, DPT

• Home Health Aide in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.