Karen M Warren, NURSE PRACTITIONER

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

4704176195 Issued in MI

Practice address

1001 S Raisinville Rd
Monroe, MI 48161-9754

Phone

(734) 384-8595

Fax

(734) 243-5506

NPI assigned

Jan 10, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Monroe County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Monroe, MI
  • NPI 1245303890
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1376692087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S RAISINVILLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619754",
            "telephone_number": "734-384-8595",
            "fax_number": "734-243-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S RAISINVILLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619754",
            "telephone_number": "734-384-8595",
            "fax_number": "734-243-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MI",
            "license": "4704176195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4835071",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Waltz
• James Waltz, LBSW
• Sharon Joy Wampler, MA LPC
• Wansom Medical Center, P.C.
• Chate Wansom, M.D.
• Hannah Watkins
• Kristy Lynne Watson, O.D.
• Abigail Waynick
• Rich A Weaks, MA, LLPC
• Desmond Morrell Weaver Jr.

• All providers in Monroe, MI
• Community Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.