Rita Lynn Warner, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAG-019 Issued in ID

Practice address

265 W. Prairie Shopping Center
Hayden, ID 83835

Phone

(208) 772-7850

Fax

(208) 772-2313

NPI assigned

Jan 20, 2006

Last updated

Mar 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rita Lynn Rotter Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colville Nation Community Health CentersGroup PAC ID 8820363716, 12 clinicians

Confederated Tribes of the Colville ReservationGroup PAC ID 1254332505, shared by 3 NPIs, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Medical Care PLLC

  • Family Medicine Physician
  • Hayden, ID
  • NPI 1053615427

  WA

  Medicare reassignment
• Colville Nation Community Health Centers

  dba Lake Roosevelt Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Inchelium, WA
  • NPI 1679697155
  Care Compare group
• House Neuro-Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Spokane, WA
  • NPI 1487242020
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1306826862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 W. PRAIRIE SHOPPING CENTER",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-772-7850",
            "fax_number": "208-772-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W. PRAIRIE SHOPPING CENTER",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-772-7850",
            "fax_number": "208-772-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "RITA",
        "middle_name": "LYNN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004688",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PAG-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "ROTTER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co (Rite Aid #16661)
• Walgreen Co (Walgreens #10314)
• Jami Walker
• Walmart Inc. (WalMart Pharmacy 10-3511)
• Lisa Walters, LM CPM BSM
• We Care Wellness Center, LLC (Back Pain Solution Clinic)
• We Care Wellness, Inc.
• Laurisa Ann Webster, MD
• Aimee Joy Wedmore, PHARMD, RPH
• Well Clinic LLC

• Medical Physician Assistant in Hayden, ID
• Providers in Hayden, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.