Jennifer K Warren, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

901407 Issued in MS

Practice address

315 Magazine St Ste C
Tupelo, MS 38804-4802

Phone

(662) 260-1011

NPI assigned

Jan 5, 2016

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

Enrolled in MS

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

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Chadwick Clinic LLCGroup PAC ID 5092198028, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26357/brand/1/csg/1/fhir/r4
• Direct secure messaging: jennifer.warren.1@26357.direct.athenahealth.com

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.

• The Chadwick Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
  • NPI 1801538186
  Medicare reassignment Care Compare group NPD
• Hollie Moffatt Pmhnp-BC LLC

  dba Healthy Minds of Tupelo

  • Psychiatry Physician
  • Tupelo, MS
  • NPI 1790360287
  NPD

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1356707400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST STE 207",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015337",
            "telephone_number": "662-205-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MAGAZINE ST STE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044802",
            "telephone_number": "662-260-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Perry Ward, FNP
• Taylor Elise Wardlaw, FNP-C
• Charlotte Warfield, CCC-SLP
• Dan P Warlick, MD
• Anna Warren, PCMHT
• Shannon R Warren, CFNP
• Stephenie C. Warren, M.S.,CCC-A
• Richard Bascomb Warriner III, DDS
• Justin Washington
• Lauren Washington

• Psychiatric/Mental Health Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.