Active NPI
Nathan Andrew Warren, LPN
- Licensed Practical Nurse
- Salem, OR
National Provider Identifier
1497415798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 201602359LPN
- Practice address
- 1750 McGilchrist St SE Ste 130
Salem, OR 97302-1691 - Phone
- (971) 304-2200
- NPI assigned
- Dec 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 201602359LPN | OR | Primary |
Addresses
Primary practice location
1750 McGilchrist St SE Ste 130
Salem, OR 97302-1691
Mailing address
1189 SW Levens St
Dallas, OR 97338-2266
Phone (503) 551-1693
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201602359LPN | OR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1497415798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1189 SW LEVENS ST",
"city": "DALLAS",
"state": "OR",
"postal_code": "973382266",
"telephone_number": "503-551-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 MCGILCHRIST ST SE STE 130",
"city": "SALEM",
"state": "OR",
"postal_code": "973021691",
"telephone_number": "971-304-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "NATHAN",
"middle_name": "ANDREW",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OR",
"license": "201602359LPN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.