Active NPI
Elizabeth Ann Warner, MD
- Psychiatry Physician
- Covington, WA
National Provider Identifier
1467519975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00033305
- Practice address
- 16720 SE 271St St
Suite 202
Covington, WA 98042 - Phone
- (253) 630-4995
- Fax
- (253) 630-4993
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00033305 | WA | Primary |
Addresses
Primary practice location
16720 SE 271St St
Suite 202
Covington, WA 98042
Mailing address
16720 SE 271St St
Suite 202
Covington, WA 98042
Phone (253) 630-4995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA3158 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00033305 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467519975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16720 SE 271ST ST",
"address_2": "SUITE 202",
"city": "COVINGTON",
"state": "WA",
"postal_code": "98042",
"telephone_number": "253-630-4995",
"fax_number": "253-630-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16720 SE 271ST ST",
"address_2": "SUITE 202",
"city": "COVINGTON",
"state": "WA",
"postal_code": "98042",
"telephone_number": "253-630-4995",
"fax_number": "253-630-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00033305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WA3158",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.