Angela D Warren, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15684 Issued in TN

Practice address

9900 Bren Rd E
Minnetonka, MN 55343-9664

Phone

(731) 412-2103

NPI assigned

Mar 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians

Christian Family Medicine, LLCGroup PAC ID 7315903978, 33 clinicians

Dyersburg Family Walk-in ClinicGroup PAC ID 5991793879, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital - Carroll County Hospital, Huntingdon, TN, CCN 440016

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14790/brand/1/csg/1/fhir/r4

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.

• Christian Family Medicine, LLC

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1043252620
  Medicare reassignment Care Compare group NPD
• Dyersburg Family Walk-in Clinic LLC

  • Rural Health Clinic/Center
  • Dyersburg, TN
  • NPI 1174712780
  Medicare reassignment Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Frix-Jennings Clinic PC

  • Family Medicine Physician
  • Henderson, TN
  • NPI 1174749469
  Medicare reassignment NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  TN

  Medicare reassignment NPD
• Advanced Cardiovascular & Vein Center

  • Specialist
  • Jackson, TN
  • NPI 1164759189
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Skyline Eye Clinic, PC

  • Ophthalmology Physician
  • Jackson, TN
  • NPI 1154328813
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD
• Independent Radiology Associates PLC

  • Diagnostic Radiology Physician
  • Dyersburg, TN
  • NPI 1194804906
  NPD (past)
• McKenzie Medical Center PC

  • Rural Health Clinic/Center
  • Bruceton, TN
  • NPI 1245401231

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital-Huntingdon

  • General Acute Care Hospital
  • Huntingdon, TN
  • NPI 1710941356
  Care Compare affiliation

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1386942134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554401459",
            "telephone_number": "731-415-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "731-412-2103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Elm Hill Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372143108",
            "country_code": "US",
            "telephone_number": "615-425-4200",
            "fax_number": "615-425-4201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Veterans Dr N",
            "address_purpose": "LOCATION",
            "city": "Huntingdon",
            "state": "TN",
            "postal_code": "383446203",
            "country_code": "US",
            "telephone_number": "731-535-3383 x73153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Union University Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053780",
            "country_code": "US",
            "telephone_number": "731-215-1281 x73141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1523639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Jo Wanke, LGSW
• Warby Parker Inc.
• Elizabeth Kennedy Ward
• Taila Ward, LICSW
• Christopher Stephen Warden, PT, DPT, MA, CSCS
• Hannan Warsame
• Scott C Washburn, LADC
• Amal Wasuge, OTR/L
• Water Hill Remodeling LLC
• Kyleen Waterhouse, RN, PHN, LSN

• Family Nurse Practitioner in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.