Hopkins Family Med & Urgent Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOPKINS FAMILY MED & URGENT CARE, PLLC

Practice address

4857 Manhattan Dr
Rockford, IL 61108-2265

Phone

(815) 708-0116

Fax

(815) 708-0174

NPI assigned

Apr 22, 2019

Organization subpart

No

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

Authorized official

Name

Fikisha Latoya Warden, MDNPI 1679701395

Title

Physician/Manager

Phone

(815) 708-0116

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: fikishawarden@ymail.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fikisha Latoya Warden, M.D.

  • Family Medicine Physician
  • Rockford, IL
  • NPI 1679701395
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1568025872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 MANHATTAN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082265",
            "telephone_number": "815-708-0116",
            "fax_number": "815-708-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 MANHATTAN DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082265",
            "telephone_number": "815-708-0116",
            "fax_number": "815-708-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPKINS FAMILY MED & URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "WARDEN",
        "authorized_official_first_name": "FIKISHA",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGER",
        "authorized_official_telephone_number": "815-708-0116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "248.002545",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Fikishawarden@ymail.com",
            "affiliation": "N",
            "endpointDescription": "Hopkins-Medical office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4857 Manhattan Dr",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611082265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abbie Lynn Honaker, FDN
• Raymond Y Hong, DDS
• Mark Honzel
• Kealy A Hootman, LPT
• Wanda Hoover, LCPC
• Jonathan D Hopman, PA-C
• Teisha Marie Hoppe, LCSW
• Shanta Tamika Hopson, APN
• Cassie McCall Horihan, DPT
• Sara Anne Hormig, APN

• Family Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.