Individual provider Active NPI

Marissa Warden, MSN, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1467814178
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21112 Issued in TN
Practice address
4411 Oakwood Dr
Chattanooga, TN 37416-2367
Phone
(423) 892-4289
NPI assigned
Mar 22, 2016
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21112 TN Primary

Addresses

Primary practice location

4411 Oakwood Dr
Chattanooga, TN 37416-2367

Mailing address

4411 Oakwood Dr
Chattanooga, TN 37416-2367
Phone (423) 892-4289

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170331000623 TN Practitioner - Nurse Practitioner 6204111305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palliative Care Services, PLLCGroup PAC ID 1052588977, 19 clinicians

Practice addresses (Care Compare)

2030 Hamilton Place Blvd
Suite 220
Chattanooga, TN 37421-6040
Phone (423) 892-4289

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Services, PLLC CurrentSince Jan 8, 2017 Accepting new patients

Locations

2030 Hamilton Place Blvd
Ste 220
Chattanooga, TN 37421
Phone (423) 498-3788

4413 Oakwood Dr
Chattanooga, TN 37416
Phone (423) 553-1823

500 Faulconer Dr
Ste 200
Charlottesville, VA 22903
Phone (434) 977-9711

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1467814178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 OAKWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162367",
            "telephone_number": "423-892-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 OAKWOOD DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162367",
            "telephone_number": "423-892-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "MARISSA",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.