Active NPI
Elizabeth Anne Warren, LPA
- Intellectual & Developmental Disabilities Psychologist
- Raleigh, NC
National Provider Identifier
1568632164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual & Developmental Disabilities Psychologist
- License
- 2399
- Practice address
- 6300 Lynn Crest LN Apt 105
Raleigh, NC 27609-2873 - Phone
- (919) 333-6893
- NPI assigned
- Mar 11, 2008
- Last updated
- Mar 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 2399 | NC | Primary |
Addresses
Primary practice location
6300 Lynn Crest LN Apt 105
Raleigh, NC 27609-2873
Mailing address
6300 Lynn Crest LN Apt 105
Raleigh, NC 27609-2873
Phone (919) 333-6893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2399 | Other | NC | LPA |
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 |
|---|---|---|---|
| 2399 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1568632164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 LYNN CREST LN APT 105",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276092873",
"telephone_number": "919-333-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 LYNN CREST LN APT 105",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276092873",
"telephone_number": "919-333-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-11",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "NC",
"license": "2399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPA",
"identifier": "2399",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.