Active NPI
Kristofer Neale Warren
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3009236
- Practice address
- 320 Whittington Pkwy
Suite 320
Louisville, KY 40222-4928 - Phone
- (502) 625-5584
- Fax
- (502) 426-2264
- NPI assigned
- Dec 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3009236 | KY | Primary |
| Registered Nurse | 163W00000X | 1142478 | KY |
Addresses
Primary practice location
320 Whittington Pkwy
Suite 320
Louisville, KY 40222-4928
Mailing address
320 Whittington Pkwy
Suite 320
Louisville, KY 40222-4928
Phone (502) 625-5584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Southern Illinois University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 E 5TH St
Deptartment of Anesthesiology
Washington, MO 63090-3127
Phone (636) 239-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142478 | KY | MD | Registered Nurse |
| 3009236 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro-West Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Phelps County Regional Medical Center | Current | Accepting new patients | |
| Phelps County Regional Medical Center | Current | Accepting new patients |
Locations
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
Organizations & group practices 4
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.
-
dba Western Anesthesiology Pain Management
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1275646754
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
Nurse Anesthetist, Certified Registered
-
dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Rolla, MO
- NPI 1366066037
-
dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1437556842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 WHITTINGTON PKWY",
"address_2": "SUITE 320",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224928",
"telephone_number": "502-625-5584",
"fax_number": "502-426-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WHITTINGTON PKWY",
"address_2": "SUITE 320",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224928",
"telephone_number": "502-625-5584",
"fax_number": "502-426-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "KRISTOFER",
"middle_name": "NEALE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-01",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3009236",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1142478",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.