Susan Marie Warnke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60112503 Issued in WA

Practice address

315 SE Stonemill Dr Ste 228
Vancouver, WA 98684-6987

Phone

(360) 687-6650

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Susan Marie Anderson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: swarnke196211@oc.providencedirect.org

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.

• Upstate Emergency Physicians LLC

  • Emergency Medicine Physician
  • Spartanburg, SC
  • NPI 1780785675
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1528024353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SE STONEMILL DR STE 228",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846987",
            "telephone_number": "360-687-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 NW 12th Ave",
            "address_2": "SUITE 107",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986049141",
            "country_code": "US",
            "telephone_number": "360-666-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNKE",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60112503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swarnke196211@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "101 NW 12th Ave",
            "address_2": "SUITE 107",
            "city": "Battle Ground",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986049141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ANDERSON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Mae Warner
• Gail Elaine Warner, PSYCH.ARNP/PMHNP, BC
• Kaitlin Christine Petra Warner, OTD
• Kenneth Robert Warner, AAS
• Michael Richard Warner, DDS
• Brooklyn Warren
• Bryan Warren
• Diane Sylvia Warren, TATTOO ARTIST
• Karen Lee Warren, NP
• Nancy Kay Warren, MA

• Physician Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.