Vickie L Warren, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R619612 Issued in MS

Practice address

4555 Highland Park Dr
Meridian, MS 39307-5429

Phone

(601) 581-7600

NPI assigned

Jan 13, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• East Mississippi Medical Clinic, PLLC

  • Clinic/Center
  • Meridian, MS
  • NPI 1881640142
  NPD (past)
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD (past)

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609232123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 POPLAR SPRING DRIVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393052622",
            "telephone_number": "601-934-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 HIGHLAND PARK DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393075429",
            "telephone_number": "601-581-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "VICKIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R619612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Ward, FNP
• Matthew Aaron Ward, D.O.
• Ryan Logan Ward, DMD
• Wynter Ward
• Joanna Warren, CPNP
• Karli Rae Watkins, PA
• Pamela H Watkins, APRN, BC
• Sherri Browning Watkins
• Brandi M Watson, FNP-C
• Celeste M Watson, FNP-BC

• Adult Health Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Adult Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.