Wanda L Warren, PT, LAC,MHS,DIPL.AC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1612 Issued in AK

Practice address

6407 Brayton Dr Ste 203a
Anchorage, AK 99507-2149

Phone

(907) 202-9804

Fax

(888) 957-1346

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wisdom Traditions Wellness, LLC

  • Physical Therapist
  • Anchorage, AK
  • NPI 1245443662

  Acupuncturist

  NPD Authorized official

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1326415969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6407 BRAYTON DR STE 203A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072149",
            "telephone_number": "907-202-9804",
            "fax_number": "888-957-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 BRAYTON DR STE 203A",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072149",
            "telephone_number": "907-202-9804",
            "fax_number": "888-957-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "WANDA",
        "middle_name": "L",
        "credential": "PT, LAC,MHS,DIPL.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AK",
            "license": "88",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easte Warnick, D.D.S.
• Stephanie J Warnock, L.C.S.W.
• Warren Urda DDS
• Kimberly A Warren, RN
• Morgan Janae Warren, APRN
• Ellen Sara Warrick, PA-C
• Jessica Warrior
• Washington Vocational Services
• Alicia Renee Washington
• Anthony Rodgers Washington, LPC

• Physical Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.