Individual provider Active NPI

Kristina Marie Warren, CRNP

  • Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1437929007
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-68886 Issued in AL
Practice address
309 S 4TH St
Gadsden, AL 35901-5212
Phone
(256) 543-9955
Fax
(256) 543-9351
NPI assigned
Jan 4, 2024
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-68886 AL Primary

Addresses

Primary practice location

309 S 4TH St
Gadsden, AL 35901-5212

Mailing address

309 S 4TH St
Gadsden, AL 35901-5212
Phone (256) 543-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240605002638 AL Practitioner - Nurse Practitioner 7911449905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Care Medical ClinicGroup PAC ID 8123191715, 3 clinicians

Practice addresses (Care Compare)

309 S 4TH St
Gadsden, AL 35901-5212
Phone (256) 543-9955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-68886ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Clinic CurrentSince Apr 22, 2024 Accepting new patients

Locations

309 S 4th St
Gadsden, AL 35901
Phone (256) 543-9955

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1437929007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015212",
            "telephone_number": "256-543-9955",
            "fax_number": "256-543-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015212",
            "telephone_number": "256-543-9955",
            "fax_number": "256-543-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-68886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.