Delfanita Ellen Warren, HAIR LOSS SPECIALIST

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

16060 Oak Park Ave Ste 151
Tinley Park, IL 60477-1626

Phone

(708) 316-1630

NPI assigned

Jan 10, 2020

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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.

• Restore 3:16, LLC

  • Prosthetics Case Management
  • Tinley Park, IL
  • NPI 1851856983
  NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1609416304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CRANDON AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092202",
            "telephone_number": "708-299-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16060 OAK PARK AVE STE 151",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771626",
            "telephone_number": "708-316-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DELFANITA",
        "middle_name": "ELLEN",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Lagestee Incorporated
• James C Walter, OD
• Traci Walters, PA-C
• Kaitlin Wanta, D.O.
• Michael Robert Ward, RPH
• Sheila Washington
• Renee Watson
• Waves of Wellness LLC
• Lauren Olivia Weibl, MS, BCBA
• Weil Foot and Ankle Institute LLC

• Durable Medical Equipment & Medical Supplies in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.