Active NPI
Perihan S. Warren, FNP-C , LLC.
- Family Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1386100360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PERIHAN S. WARREN, FNP-C , LLC.
- Practice address
- 3333 Wrightsville Ave Ste M
Wilmington, NC 28403-4115 - Phone
- (910) 339-3519
- Fax
- (910) 769-1739
- NPI assigned
- Feb 14, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crystal Heath, OFFICE MANAGER
- Title
- Office Manager
- Phone
- (910) 399-3519
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3333 Wrightsville Ave Ste M
Wilmington, NC 28403-4115
Mailing address
3333 Wrightsville Ave Ste M
Wilmington, NC 28403-4115
Phone (910) 339-3519
Other names 1
- Azalea Coast Behavioral Health
National Provider Directory
National Provider DirectoryLocations
925 S Kerr Ave
Ste 45
Wilmington, NC 28403
3333 Wrightsville Ave
#M
Wilmington, NC 28403
Phone (910) 399-3519
925 S Kerr Ave
Ste E123
Wilmington, NC 28403
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Wilmington, NC
- NPI 1659755098
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659398400000",
"number": "1386100360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 WRIGHTSVILLE AVE STE M",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034115",
"telephone_number": "910-339-3519",
"fax_number": "910-769-1739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 WRIGHTSVILLE AVE STE M",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034115",
"telephone_number": "910-339-3519",
"fax_number": "910-769-1739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERIHAN S. WARREN, FNP-C , LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-14",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A",
"authorized_official_last_name": "HEATH",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "910-399-3519",
"authorized_official_credential": "OFFICE MANAGER"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Azalea Coast Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.