Individual provider Active NPI

Cathy Warne, FNP

  • Family Nurse Practitioner
  • Rancho Mirage, CA
National Provider Identifier
1568530962
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14492 Issued in CA
Practice address
35400 Bob Hope Dr Ste 210
Rancho Mirage, CA 92270-1774
Phone
(760) 202-0686
Fax
(760) 770-4563
NPI assigned
Dec 1, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 14492 CA Primary

Addresses

Primary practice location

35400 Bob Hope Dr Ste 210
Rancho Mirage, CA 92270-1774

Mailing address

41392 Corte Nella Vita
Indio, CA 92203-7711
Phone (760) 469-3684

Other identifiers 2

IdentifierTypeStateIssuer
0375531-22OtherTXANCC COMMISSION ON CERTIF
14492OtherCACA BOARD OF REGIST NURSIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200611002119 CA Order and Referring Only - Nurse Practitioner 2163476524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14492CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Syed F Azam Medical Associates Inc CurrentSince Dec 5, 2021 Accepting new patients

Locations

35400 Bob Hope Dr
Ste 210
Rancho Mirage, CA 92270
Phone (760) 202-0686

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: catherine.warne.1@11678.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568530962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41392 CORTE NELLA VITA",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922037711",
            "telephone_number": "760-469-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 210",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701774",
            "telephone_number": "760-202-0686",
            "fax_number": "760-770-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNE",
        "first_name": "CATHY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-03-07",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC COMMISSION ON CERTIF",
            "identifier": "0375531-22",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF REGIST NURSIN",
            "identifier": "14492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.