Tina Marie Warren, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7593 Issued in FL

Practice address

9785 Crosshill Blvd Ste 108
Jacksonville, FL 32222-5823

Phone

(904) 772-6522

Fax

(904) 772-6553

NPI assigned

Jan 31, 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 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oakleaf Family ChiropracticGroup PAC ID 0840485884, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oakleaf Family Chiropractic

  • Chiropractor
  • Jacksonville, FL
  • NPI 1144538349
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1528039153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9785 CROSSHILL BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225823",
            "telephone_number": "904-772-6522",
            "fax_number": "904-772-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9785 CROSSHILL BLVD STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225823",
            "telephone_number": "904-772-6522",
            "fax_number": "904-772-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381601000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00007425",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianne Warrell, ARNP
• Hydee Warren, MS
• John Warren, L.M.H.C.
• Rachel Warren, NP-C
• Scott Davis Warren, MD
• Vanessa Warren
• Jessica Leigh Warrick-Imrisek, MD
• Adrienne Buckman Warrick, M.D.
• Matthew Duwain Warrick, M.D.
• Phillip Daniel Warshaw

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.